Individual provider Active NPI

Arnetta Renee Fletcher, PHD, RDN, LDN

  • Registered Dietitian
  • Charlottesville, VA
National Provider Identifier
1730622051
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX4101 Issued in MD
Practice address
4036 Purple Flora BND
Charlottesville, VA 22911-5685
Phone
(434) 465-2868
NPI assigned
Nov 18, 2016
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1158 WV
Registered Dietitian 133V00000X DX4101 MD Primary

Addresses

Primary practice location

4036 Purple Flora BND
Charlottesville, VA 22911-5685

Mailing address

4036 Purple Flora BND
Charlottesville, VA 22911-5685
Phone (434) 465-2868

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

State licenses

LicenseStateTypeSpecialty
DX4101MDMDRegistered Dietitian
1158WVMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrilux, LLC Dietitian, Registered CurrentSince Jan 1, 2025 Accepting new patients
Maryland Nutrition and Diet Services, L.L.C. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1730622051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 PURPLE FLORA BND",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229115685",
            "telephone_number": "434-465-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 PURPLE FLORA BND",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229115685",
            "telephone_number": "434-465-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "ARNETTA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PHD, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WV",
            "license": "1158",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX4101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.