McDonough Nutritional Services

Primary specialty

NutritionistTaxonomy code 133N00000X

License

NU89 Issued in DC

Legal business name

MCDONOUGH NUTRITIONAL SERVICES

Practice address

6827 4TH St NW
#104
Washington, DC 20012-1900

Phone

(202) 509-6991

NPI assigned

Sep 14, 2015

Last updated

Sep 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Libia McDonough, MS LC

Title

Nutritionist

Phone

(202) 509-6991

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1760850390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6827 4TH ST NW",
            "address_2": "#104",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121900",
            "telephone_number": "202-509-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6827 4TH ST NW",
            "address_2": "#104",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121900",
            "telephone_number": "202-509-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONOUGH NUTRITIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "LIBIA",
        "authorized_official_title_or_position": "NUTRITIONIST",
        "authorized_official_telephone_number": "202-509-6991",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS LC"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "DC",
            "license": "NU89",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083550100",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa J. McDonald, MD
• Caitlin McDonnell, CF-SLP
• Elizabeth Za McDonnell, LCSW
• Eugenia Margaret McDonnell, CRNP
• Jill McDonnell, MD
• Robert Sean McDonough, M.D.
• Emily McDougall, RD, LDN
• Crystal McDougle
• Stephen McDow
• Catherine Holland McDowell

• Nutritionist in Washington, DC
• Providers in Washington, DC by specialty
• Nutritionist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.