Individual provider Active NPI

Lise Anne Gloede, RD

  • Registered Dietitian
  • Arlington, VA
National Provider Identifier
1386719607
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
5275 Lee Hwy
Suite #101
Arlington, VA 22207-1619
Phone
(703) 575-1007
Fax
(703) 358-8703
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

5275 Lee Hwy
Suite #101
Arlington, VA 22207-1619

Mailing address

5275 Lee Hwy
Suite #101
Arlington, VA 22207-1619
Phone (703) 575-1007

Other identifiers 3

IdentifierTypeStateIssuer
1489551OtherVACIGNA HEALTHCARE PROVIDER
7480122OtherVAAETNA PROVIDER NUMBER
2294420OtherVAUNITED HEALTHCARE PROVIDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050405001257 DC Practitioner - Registered Dietitian Or Nutrition Professional 0648227280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Falls Church, VA 22042
Phone (703) 516-4973

7600 D Lakeside Village Dr
Falls Church, VA 22042-7548

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Coaching, LLC Dietitian, Registered CurrentSince Oct 31, 2007 Accepting new patients
Virginia Hospital Center Arlington Health System Past Accepting new patients

Locations

2517 N Glebe Rd
Arlington, VA 22207
Phone (703) 516-4973

1635 N George Mason Dr
Ste 485
Arlington, VA 22205
Phone (703) 516-4973

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1386719607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 LEE HWY",
            "address_2": "SUITE #101",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222071619",
            "telephone_number": "703-575-1007",
            "fax_number": "703-358-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 LEE HWY",
            "address_2": "SUITE #101",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222071619",
            "telephone_number": "703-575-1007",
            "fax_number": "703-358-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOEDE",
        "first_name": "LISE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE PROVIDER",
            "identifier": "1489551",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7480122",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROVIDE",
            "identifier": "2294420",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.