Organization Active NPI

Seasonup Nutrition LLC

  • Registered Dietitian
  • Laurel, MD
National Provider Identifier
1700629698
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
SEASONUP NUTRITION LLC
Practice address
8101 Sandy Spring Rd
Suite 300 PMB 1005
Laurel, MD 20707
Phone
(443) 718-0628
NPI assigned
Jun 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Schilenchy Goldson, RD
Title
Owner
Phone
(443) 718-0628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

8101 Sandy Spring Rd
Suite 300 PMB 1005
Laurel, MD 20707

Mailing address

8101 Sandy Spring Rd
Suite 300 PMB 1005
Laurel, MD 20707
Phone (443) 718-0628

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1700629698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 SANDY SPRING RD",
            "address_2": "SUITE 300 PMB 1005",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20707",
            "telephone_number": "443-718-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 SANDY SPRING RD",
            "address_2": "SUITE 300 PMB 1005",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20707",
            "telephone_number": "443-718-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONUP NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "GOLDSON",
        "authorized_official_first_name": "SCHILENCHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-718-0628",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "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 Aug 30, 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.

Verify at the official NPI Registry.