Nourishing Lu, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NOURISHING LU, LLC

Practice address

13221 Schubert PL
Silver Spring, MD 20904-6865

Phone

(301) 246-6255

NPI assigned

Feb 6, 2023

Last updated

Feb 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Constance Louise Fulda, RDNPI 1336409135

Title

Owner

Phone

(301) 246-6255

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Constance L. Fulda, RD

  • Registered Dietitian
  • Silver Spring, MD
  • NPI 1336409135

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1649976127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15210 DINO DR UNIT 825",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208667536",
            "telephone_number": "301-246-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13221 SCHUBERT PL",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209046865",
            "telephone_number": "301-246-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHING LU, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "FULDA",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-246-6255",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1336409135",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.