Active NPI
Nutrition and Diabetes Education Center, LLC
- Registered Dietitian
- Glenn Dale, MD
National Provider Identifier
1629372529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- NUTRITION AND DIABETES EDUCATION CENTER, LLC
- Practice address
- 12150 Annapolis Rd
Ste 104
Glenn Dale, MD 20769-9183 - Phone
- (301) 805-8292
- NPI assigned
- Jan 6, 2011
- 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
- Ms. Charleita Jones
- Title
- Office Manager
- Phone
- (301) 805-8292
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | MD | Primary |
Addresses
Primary practice location
12150 Annapolis Rd
Ste 104
Glenn Dale, MD 20769-9183
Mailing address
12150 Annapolis Rd
Ste 104
Glenn Dale, MD 20769-9183
Phone (301) 805-8292
National Provider Directory
National Provider Directory- Tax ID family
- Nutrition and Diabetes Education Center LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Registered Dietitian
- Glenn Dale, MD
- NPI 1275866055
Locations
12150 Annapolis Rd
Ste 104
Glenn Dale, MD 20769
Phone (301) 805-8292
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Glenn Dale, MD
- NPI 1417141557
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1629372529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12150 ANNAPOLIS RD",
"address_2": "STE 104",
"city": "GLENN DALE",
"state": "MD",
"postal_code": "207699183",
"telephone_number": "301-805-8292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12150 ANNAPOLIS RD",
"address_2": "STE 104",
"city": "GLENN DALE",
"state": "MD",
"postal_code": "207699183",
"telephone_number": "301-805-8292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRITION AND DIABETES EDUCATION CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-06",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "CHARLEITA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "301-805-8292",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenn Dale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.