Individual provider Active NPI

Rachel Marsiglio, MS, RD, CDE, CEDRD

  • Registered Dietitian
  • Midlothian, VA
National Provider Identifier
1417130246
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
979586 Issued in VA
Practice address
250 Wylderose CMNS Ste 200
Midlothian, VA 23113-6883
Phone
(804) 592-0095
Fax
(804) 655-6183
NPI assigned
Dec 15, 2007
Last updated
Nov 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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 979586 VA Primary

Addresses

Primary practice location

250 Wylderose CMNS Ste 200
Midlothian, VA 23113-6883

Mailing address

250 Wylderose CMNS Ste 200
Midlothian, VA 23113-6883
Phone (804) 592-0095

Other practice location 1

3906 Hilltop Farms Ter
Chester, VA 23831-1198
Phone (804) 335-8908

Other identifiers 1

IdentifierTypeStateIssuer
979586OtherVACREDENTIAL FOR DIETETIC REGISTRATION

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100614000526 VA Practitioner - Registered Dietitian Or Nutrition Professional 5698803898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Michigan State University College of Human Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nourish2Flourishrva LLCGroup PAC ID 6406162023, 4 clinicians

Practice addresses (Care Compare)

250 Wylderose CMNS
Suite 200
Midlothian, VA 23113-6918
Phone (804) 592-0095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
979586VAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish2Flourishrva LLC Dietitian, Registered CurrentSince Jun 23, 2015 Accepting new patients

Locations

250 Wylderose Commons
Ste 200
Midlothian, VA 23113
Phone (804) 592-0095

Organizations & group practices 1

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": "1197676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1417130246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 WYLDEROSE CMNS STE 200",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136883",
            "telephone_number": "804-592-0095",
            "fax_number": "804-655-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WYLDEROSE CMNS STE 200",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136883",
            "telephone_number": "804-592-0095",
            "fax_number": "804-655-6183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3906 Hilltop Farms Ter",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "VA",
            "postal_code": "238311198",
            "country_code": "US",
            "telephone_number": "804-335-8908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSIGLIO",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, CDE, CEDRD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-15",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "979586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CREDENTIAL FOR DIETETIC REGISTRATION",
            "identifier": "979586",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.