Active NPI
Juvonia Harris, RDN
- Registered Dietitian
- Waldorf, MD
National Provider Identifier
1548989221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D02287
- Practice address
- 2957 Festival Way # 1036
Waldorf, MD 20601-2959 - Phone
- (240) 416-1591
- NPI assigned
- Aug 25, 2022
- Last updated
- Aug 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | D02287 | MD | Primary |
Addresses
Primary practice location
2957 Festival Way # 1036
Waldorf, MD 20601-2959
Mailing address
3729 Wallingford CT
Waldorf, MD 20603-7007
Phone (240) 416-1591
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 |
|---|---|---|---|
| D02287 | MD | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
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, 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": "1661385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1548989221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3729 WALLINGFORD CT",
"city": "WALDORF",
"state": "MD",
"postal_code": "206037007",
"telephone_number": "240-416-1591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2957 FESTIVAL WAY # 1036",
"city": "WALDORF",
"state": "MD",
"postal_code": "206012959",
"telephone_number": "240-416-1591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JUVONIA",
"name_prefix": "Mrs.",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-25",
"last_updated": "2024-08-09",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "D02287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.