Individual provider Active NPI

Dimple Aneka Mozhi, RS, MS

  • Registered Dietitian
  • Washington, DC
National Provider Identifier
1609485358
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86096564 Issued in VA
Practice address
1012 14TH St NW Ste 700
Washington, DC 20005-3477
Phone
(202) 431-6676
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86096564 VA Primary

Addresses

Primary practice location

1012 14TH St NW Ste 700
Washington, DC 20005-3477

Mailing address

6436 Columbia Pike
Annandale, VA 22003-2063
Phone (202) 431-6676

Other identifiers 1

IdentifierTypeStateIssuer
86096564OtherCOMMISSION ON DIETETIC REGISTRATION

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86096564VAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1609485358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6436 COLUMBIA PIKE",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032063",
            "telephone_number": "202-431-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 14TH ST NW STE 700",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053477",
            "telephone_number": "202-431-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZHI",
        "first_name": "DIMPLE",
        "middle_name": "ANEKA",
        "name_prefix": "Miss",
        "credential": "RS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "86096564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86096564",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.