Individual provider Active NPI

Kathy B. Glazer, M.S., R.D., L. D.

  • Registered Dietitian
  • Arlington, VA
National Provider Identifier
1780766311
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DII00000214 Issued in DC
Practice address
2501 N Glebe Rd
#303
Arlington, VA 22207-3558
Phone
(703) 841-1293
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DII00000214 DC Primary

Addresses

Primary practice location

2501 N Glebe Rd
#303
Arlington, VA 22207-3558

Mailing address

2501 N Glebe Rd
#303
Arlington, VA 22207-3558
Phone (703) 841-1293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 10, 2017 through Jan 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DII00000214DCMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780766311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N GLEBE RD",
            "address_2": "#303",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222073558",
            "telephone_number": "703-841-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N GLEBE RD",
            "address_2": "#303",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222073558",
            "telephone_number": "703-841-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZER",
        "first_name": "KATHY",
        "middle_name": "B.",
        "credential": "M.S., R.D., L. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "DC",
            "license": "DII00000214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.