Individual provider Active NPI

Jacob Clay Fralin, RD

  • Registered Dietitian
  • Richmond, VA
National Provider Identifier
1538813977
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX7085 Issued in MD
Practice address
1301 N 31St St
Richmond, VA 23223-6705
Phone
(804) 385-6002
NPI assigned
Feb 4, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 86101216 VA
Registered Dietitian 133V00000X DX7085 MD Primary

Addresses

Primary practice location

1301 N 31St St
Richmond, VA 23223-6705

Mailing address

1301 N 31St St
Richmond, VA 23223-6705
Phone (804) 385-6002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250918001379 DC Practitioner - Registered Dietitian Or Nutrition Professional 4587168927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

1684 E Gude Dr
Suite 202
Rockville, MD 20850-5338
Phone (301) 217-9222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86101216VAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Single Specialty CurrentSince Jul 5, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 5, 2025 Accepting new patients
Iron Heart Nutrition LLC Dietitian, Registered CurrentSince Aug 3, 2025 Accepting new patients

Locations

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

1684 E Gude Dr
Ste 202
Rockville, MD 20850
Phone (301) 217-9222

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

2522 Hermitage Rd
Ste D
Richmond, VA 23220
Phone (804) 385-6002

Interoperability endpoints

  • Direct secure messaging: jacob.fralin.1@8042.direct.athenahealth.com

Organizations & group practices 3

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": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1538813977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N 31ST ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232236705",
            "telephone_number": "804-385-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N 31ST ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232236705",
            "telephone_number": "804-385-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRALIN",
        "first_name": "JACOB",
        "middle_name": "CLAY",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-04",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "86101216",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX7085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.