Active NPI
Listen Nutrition, LLC
- Registered Dietitian
- Manassas, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- LISTEN NUTRITION, LLC
- Practice address
- 8401 Dorsey Cir Ste 102
Manassas, VA 20110-8303 - Phone
- (202) 670-9674
- NPI assigned
- Oct 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erica Ingraham
- Title
- Registered Dietitian
- Phone
- (202) 670-9674
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
8401 Dorsey Cir Ste 102
Manassas, VA 20110-8303
Mailing address
1602 Belle View Blvd
PMB 4170
Alexandria, VA 22307-2035
Phone (585) 506-5780
Other practice location 1
8637 Mathis Ave
Manassas, VA 20110-5270
Phone (202) 670-9674
Other names 1
- Listen Nutrition, LLC
National Provider Directory
National Provider Directory- Tax ID family
- Listen Nutrition LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Registered Dietitian
- Manassas, VA
- NPI 1093471187
Locations
8401 Dorsey Cir
Ste 102
Manassas, VA 20110
Phone (202) 670-9674
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650844800000",
"number": "1558024083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 BELLE VIEW BLVD",
"address_2": "PMB 4170",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223072035",
"telephone_number": "585-506-5780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 DORSEY CIR STE 102",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201108303",
"telephone_number": "202-670-9674"
}
],
"practiceLocations": [
{
"address_1": "8637 Mathis Ave",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201105270",
"country_code": "US",
"telephone_number": "202-670-9674",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LISTEN NUTRITION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-21",
"last_updated": "2022-04-25",
"certification_date": "2022-01-29",
"status": "A",
"authorized_official_last_name": "INGRAHAM",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "202-670-9674"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Listen Nutrition, LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Listen Nutrition, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.