Individual provider Active NPI

Caroline Pearson Tussing, RDN, CDN, CPT

  • Registered Dietitian
  • Arlington, VA
National Provider Identifier
1407453228
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86153157
Practice address
2514 10TH St N Apt 2
Arlington, VA 22201-1980
Phone
(443) 636-0907
NPI assigned
Oct 5, 2020
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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 86153157 Primary

Addresses

Primary practice location

2514 10TH St N Apt 2
Arlington, VA 22201-1980

Mailing address

2514 10TH St N Apt 2
Arlington, VA 22201-1980
Phone (443) 636-0907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220225000434 DC Practitioner - Registered Dietitian Or Nutrition Professional 1759793276 Reassigns benefits to 1 organization
I20250212001575 NY Practitioner - Registered Dietitian Or Nutrition Professional 1759793276 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011629NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Lynn Nutrition Dietitian, Registered CurrentSince Dec 5, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 21, 2021 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 21, 2021 Accepting new patients
Lindatroia,LCSW, P.C. PastSince Dec 5, 2024 Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

5100 W Genesee St
Camillus, NY 13031
Phone (315) 401-0590

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1407453228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 10TH ST N APT 2",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222011980",
            "telephone_number": "443-636-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 10TH ST N APT 2",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222011980",
            "telephone_number": "443-636-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUSSING",
        "first_name": "CAROLINE",
        "middle_name": "PEARSON",
        "credential": "RDN, CDN, CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86153157",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.