Active NPI
Genevieve Aurora Traversa, R.D.N, L.D.N
- Registered Dietitian
- Baltimore, MD
National Provider Identifier
1780290866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DX5065
- Practice address
- 1734 Maryland Ave # 200
Baltimore, MD 21201-5804 - Phone
- (240) 688-9306
- NPI assigned
- Sep 23, 2020
- Sex
- Female
- Sole proprietor
- No
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 | DX5065 | MD | Primary |
Addresses
Primary practice location
1734 Maryland Ave # 200
Baltimore, MD 21201-5804
Mailing address
1 Barkley LN Apt 172
Gaithersburg, MD 20877-6351
Phone (240) 688-9306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DX5065 | MD | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| No Diet Dietitian, LLC | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1780290866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BARKLEY LN APT 172",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208776351",
"telephone_number": "240-688-9306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1734 MARYLAND AVE # 200",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015804",
"telephone_number": "240-688-9306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVERSA",
"first_name": "GENEVIEVE",
"middle_name": "AURORA",
"credential": "R.D.N, L.D.N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-23",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX5065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.