Active NPI
Nora Elizabeth Jansen Shank, RDN, LDN
- Registered Dietitian
- Falls Church, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, VA
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DI100000843 | DC | MD | Obesity and Weight Management Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Inova Physician Partners, LLC | Current | 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.
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- NPI 1811204050
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.