Active NPI
Ashlie Marie Church, CNS
- Nutritionist
- Rockville, MD
National Provider Identifier
1790534840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- DX6678
- Practice address
- 4 Taft CT Ste 100
Rockville, MD 20850-5577 - Phone
- (240) 406-4195
- NPI assigned
- May 13, 2024
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | DX6678 | MD | Primary |
Addresses
Primary practice location
4 Taft CT Ste 100
Rockville, MD 20850-5577
Mailing address
1628 Cheston LN Apt G
Hanover, MD 21076-1935
Phone (443) 924-3160
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DX6678 | MD | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ford Wellness Nutrition and Integrative Health | Nutritionist | Current | Accepting new patients |
Locations
4 Taft Ct
Ste 100
Rockville, MD 20850
Phone (240) 426-4030
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.
-
- Nutritionist
- Rockville, MD
- NPI 1003787847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1790534840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1628 CHESTON LN APT G",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761935",
"telephone_number": "443-924-3160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 TAFT CT STE 100",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208505577",
"telephone_number": "240-406-4195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURCH",
"first_name": "ASHLIE",
"middle_name": "MARIE",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-13",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "MD",
"license": "DX6678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.