Individual provider Active NPI

Nora Elizabeth Jansen Shank, RDN, LDN

  • Registered Dietitian
  • Falls Church, VA
National Provider Identifier
1801084124
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
6330 Nicholson St
Falls Church, VA 22044-1741
Phone
(571) 385-2074
NPI assigned
Oct 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X DI100000843 DC
Registered Dietitian 133V00000X VA Primary

Addresses

Primary practice location

6330 Nicholson St
Falls Church, VA 22044-1741

Mailing address

6330 Nicholson St
Falls Church, VA 22044-1741
Phone (571) 385-2074

Other practice location 1

3022 Williams Dr
Fairfax, VA 22031-4600
Phone (703) 573-9800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nshank1172255@soc.inova.org Health Information Exchange (HIE) Inova Physician Partners, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240413000109 DC Practitioner - Registered Dietitian Or Nutrition Professional 8426497298 Reassigns benefits to 2 organizations
I20240502003601 VA Practitioner - Registered Dietitian Or Nutrition Professional 8426497298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
University of Maryland School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Physician Partners LLCGroup PAC ID 2466581772, 258 clinicians

Practice addresses (Care Compare)

3022 Williams Dr
300 Gimg Fairfax
Fairfax, VA 22031-4600
Phone (703) 573-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI100000843DCMDObesity and Weight Management Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Mar 22, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Mar 22, 2024 Accepting new patients
Inova Physician Partners, LLC CurrentSince Feb 5, 2024 Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

3022 Williams Dr
Ste 300
Fairfax, VA 22031
Phone (703) 573-9800

8644 Sudley Rd
#220
Manassas, VA 20110

Organizations & group practices 4

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": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1801084124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 NICHOLSON ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220441741",
            "telephone_number": "571-385-2074",
            "fax_number": "480-284-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 NICHOLSON ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220441741",
            "telephone_number": "571-385-2074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3022 Williams Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314600",
            "country_code": "US",
            "telephone_number": "703-573-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANSEN SHANK",
        "first_name": "NORA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2024-03-12",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "DC",
            "license": "DI100000843",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nshank1172255@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Physician Partners, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3022 Williams Dr",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220314600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.