Active NPI
Sherryl Vanlare, MS, CNS
- Nutritionist
- Clarksburg, MD
National Provider Identifier
1760929087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- DX4138
- Practice address
- 13417 Dutrow Dr
Clarksburg, MD 20871-4497 - Phone
- (703) 328-9943
- NPI assigned
- Jan 24, 2017
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | DX4138 | MD | Primary |
Addresses
Primary practice location
13417 Dutrow Dr
Clarksburg, MD 20871-4497
Mailing address
13417 Dutrow Dr
Clarksburg, MD 20871-4497
Phone (703) 328-9943
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
- Certified Nurse Specialist, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DX4138 | MD | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1760929087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13417 DUTROW DR",
"city": "CLARKSBURG",
"state": "MD",
"postal_code": "208714497",
"telephone_number": "703-328-9943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13417 DUTROW DR",
"city": "CLARKSBURG",
"state": "MD",
"postal_code": "208714497",
"telephone_number": "703-328-9943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANLARE",
"first_name": "SHERRYL",
"name_prefix": "Ms.",
"credential": "MS, CNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-24",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "MD",
"license": "DX4138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksburg, MD
- Transblue Logistics LLC
- Patricia J. Tucker, MSW
- Rosana Claudia Turek de Valeri, M.AC., L.AC
- Unified Resource Coordination Inc.
- Jen Unruh, CNS, LDN
- Visionary Eyecare Professionals
- VR Dietitian & Nutrition Consulting LLC
- Michael David Wagner, MS, RN, CNP, PMHNPBC
- Latascha Patrice Washington, LCSW-C
- Joseph Peter Wilson, L.C.S.W.-C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.