The Dietitian Group LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

877386 Issued in NC

Legal business name

THE DIETITIAN GROUP LLC

Practice address

638 Independence Pkwy
Suite 240
Chesapeake, VA 23320-5216

Phone

(757) 499-2018

Fax

(757) 499-2017

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Sybil M Foster, RD

Title

Director

Phone

(757) 499-2018

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MEDICAL NUTRITION THERAPIES GROUP LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Qualls Blaha, LDN, RD

  • Registered Dietitian
  • Chesapeake, VA
  • NPI 1265624639

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1740368943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6522",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233230522",
            "telephone_number": "757-499-2018",
            "fax_number": "757-499-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 INDEPENDENCE PKWY",
            "address_2": "SUITE 240",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205216",
            "telephone_number": "757-499-2018",
            "fax_number": "757-499-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DIETITIAN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "SYBIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-499-2018",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "877386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010144191",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010144094",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL NUTRITION THERAPIES GROUP LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Christie Fitzgerald Thaxton, REGISTERED NURSE
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• Registered Dietitian in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.