Active NPI
Lauren Faith Bloxsome, RD
- Registered Dietitian
- Charlottesville, VA
National Provider Identifier
1497536692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86265415
- Practice address
- 1204 W Main St FL 5
Charlottesville, VA 22903-2824 - Phone
- (434) 924-2665
- NPI assigned
- Oct 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86265415 | VA | Primary |
Addresses
Primary practice location
1204 W Main St FL 5
Charlottesville, VA 22903-2824
Mailing address
3014 Vue Ave Unit 113
Crozet, VA 22932-3196
Other names 1
- Faith Sosa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86265415 | VA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Bradley Management LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
1204 W Main St
Fl 5
Charlottesville, VA 22903
Phone (434) 924-2665
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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1497536692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3014 VUE AVE UNIT 113",
"city": "CROZET",
"state": "VA",
"postal_code": "229323196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 W MAIN ST FL 5",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229032824",
"telephone_number": "434-924-2665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOXSOME",
"first_name": "LAUREN",
"middle_name": "FAITH",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-12",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "86265415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FAITH",
"last_name": "SOSA",
"credential": "RD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Charlottesville, VA
- Katelyn Blondino, MS, LCGC
- Bloom Care Group LLC
- Melissa Sue Bloomer, DPT
- Karen Shatkin Bloomfield, M.S., R.N., C.N.S.
- Peter Blosser, MD
- Blue Ridge Allergy & Asthma, Inc
- Blue Ridge Chiropractic and Massage Therapy Center
- Blue Ridge Endocrinology and Diabetes PLC
- Blue Ridge First Step
- Blue Ridge Foot and Ankle Clinic PLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.