Active NPI
Sara Ashley Cully, REGISTERED DIETITIAN
- Registered Dietitian
- Virginia Beach, VA
National Provider Identifier
1679185763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1099269
- Practice address
- 1577 Laskin Rd Ste 105
Virginia Beach, VA 23451-6464 - Phone
- (757) 422-4728
- NPI assigned
- Aug 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1099269 | VA | Primary |
Addresses
Primary practice location
1577 Laskin Rd Ste 105
Virginia Beach, VA 23451-6464
Mailing address
1811 Calash Way
Virginia Beach, VA 23454-6000
Phone (757) 353-0850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JWF Nutrition, LLC | Dietitian, Registered | Current | Accepting new patients |
| Sara Cully Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
115 College Pl
Ste A
Norfolk, VA 23510
Phone (757) 340-3200
1577 Laskin Rd
Ste 105
Virginia Beach, VA 23451
Phone (757) 422-4728
848 First Colonial Rd
#B
Virginia Beach, VA 23451
Phone (757) 422-4725
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": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1679185763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 CALASH WAY",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234546000",
"telephone_number": "757-353-0850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1577 LASKIN RD STE 105",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234516464",
"telephone_number": "757-422-4728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLY",
"first_name": "SARA",
"middle_name": "ASHLEY",
"credential": "REGISTERED DIETITIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-19",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "1099269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.