Active NPI
Beth Ann Dorman, MS,RDN,LDN
- Registered Dietitian
- Potomac, MD
National Provider Identifier
1740976331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D01252
- Practice address
- 11607 Karen Dr
Potomac, MD 20854-3153 - Phone
- (301) 760-8280
- NPI assigned
- Apr 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | D01252 | MD | Primary |
Addresses
Primary practice location
11607 Karen Dr
Potomac, MD 20854-3153
Mailing address
11607 Karen Dr
Potomac, MD 20854-3153
Phone (301) 760-8280
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D01252 | MD | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1740976331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11607 KAREN DR",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208543153",
"telephone_number": "301-760-8280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11607 KAREN DR",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208543153",
"telephone_number": "301-760-8280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORMAN",
"first_name": "BETH",
"middle_name": "ANN",
"credential": "MS,RDN,LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-17",
"last_updated": "2023-04-17",
"certification_date": "2023-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "D01252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.