Organization Active NPI

Dixon Dietetics, LLC

  • Registered Dietitian
  • Clinton, MD
National Provider Identifier
1518559137
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
DIXON DIETETICS, LLC
Practice address
6809 Groveton Dr
Clinton, MD 20735-4042
Phone
(301) 609-1058
NPI assigned
Feb 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Mrs. Shauna Rowe, RDN
Title
Registered Dietitian
Phone
(301) 360-4409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

6809 Groveton Dr
Clinton, MD 20735-4042

Mailing address

6809 Groveton Dr
Clinton, MD 20735-4042

Other practice location 1

15912 Crain Hwy Unit B204
Brandywine, MD 20613-8035
Phone (301) 360-4409 ext. 101

Other identifiers 1

IdentifierTypeStateIssuer
1366932899OtherNPI

National Provider Directory

National Provider Directory

Locations

15912 Crain Hwy
Unit B204
Brandywine, MD 20613
Phone (301) 360-4409

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1518559137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6809 GROVETON DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6809 GROVETON DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354042",
            "telephone_number": "301-609-1058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15912 Crain Hwy Unit B204",
            "address_purpose": "LOCATION",
            "city": "Brandywine",
            "state": "MD",
            "postal_code": "206138035",
            "country_code": "US",
            "telephone_number": "301-360-4409 x101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIXON DIETETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "301-360-4409",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366932899",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.