Active NPI
Divya Lakshmi Selvakumar, PHD, RD
- Registered Dietitian
- Laurel, MD
National Provider Identifier
1619477478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DX4011
- Practice address
- 8405 Pamela Way
Laurel, MD 20723-1099 - Phone
- (443) 761-9890
- NPI assigned
- Feb 19, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI100000836 | DC | |
| Registered Dietitian | 133V00000X | DX4011 | MD | Primary |
Addresses
Primary practice location
8405 Pamela Way
Laurel, MD 20723-1099
Mailing address
8405 Pamela Way
Laurel, MD 20723-1099
Phone (443) 761-9890
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
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1619477478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8405 PAMELA WAY",
"city": "LAUREL",
"state": "MD",
"postal_code": "207231099",
"telephone_number": "443-761-9890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8405 PAMELA WAY",
"city": "LAUREL",
"state": "MD",
"postal_code": "207231099",
"telephone_number": "443-761-9890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELVAKUMAR",
"first_name": "DIVYA",
"middle_name": "LAKSHMI",
"name_prefix": "Dr.",
"credential": "PHD, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-19",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "DC",
"license": "DI100000836",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX4011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.