Enlighten Nutrition Counseling and Care, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

ENLIGHTEN NUTRITION COUNSELING AND CARE, LLC

Practice address

2 Cardinal Park Dr SE Ste 104
Leesburg, VA 20175-4437

Phone

(571) 310-6029

NPI assigned

Jan 21, 2022

Last updated

Apr 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alison Seramur Hall, MS RDN LDN

Title

Co-Owner

Phone

(571) 291-0693

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Helena Ezzeldin, MS, CNS, LDN

  • Registered Dietitian
  • Leesburg, VA
  • NPI 1801466685

  Nutritionist

  NPD

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1477205433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11707 SUMMERCHASE CIR APT E",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201941129",
            "telephone_number": "571-291-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CARDINAL PARK DR SE STE 104",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754437",
            "telephone_number": "571-310-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTEN NUTRITION COUNSELING AND CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "SERAMUR",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "571-291-0693",
        "authorized_official_credential": "MS RDN LDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86109263",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "helena@enlightencounselingcare.com",
            "affiliation": "N",
            "address_1": "2 Cardinal Park Dr SE Ste 104",
            "city": "Leesburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201754437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Registered Dietitian in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.