Individual provider Active NPI

Evangelina Dispirito

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Rockville, MD
National Provider Identifier
1801472121
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X
License
DI100001141 Issued in DC
Practice address
672 Ivy League LN
Rockville, MD 20850-1878
Phone
(240) 498-6880
NPI assigned
Mar 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DX4307 MD
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X DI100001141 DC Primary

Addresses

Primary practice location

672 Ivy League LN
Rockville, MD 20850-1878

Mailing address

672 Ivy League LN
Rockville, MD 20850-1878
Phone (240) 498-6880

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Wellbeingnutrition.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251121004208 CA Practitioner - Registered Dietitian Or Nutrition Professional 0547270456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5665 Wilshire Blvd
Suite 1609
Los Angeles, CA 90036-3710

672 Ivy League LN
Rockville, MD 20850-1878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DX4307MDMDRegistered Dietitian
DI100001141DCMDObesity and Weight Management Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Health Weight Management, LLC Dietitian, Registered CurrentSince Feb 1, 2024 Accepting new patients
Zaghi Medical Inc Dietitian, Registered CurrentSince Nov 1, 2025 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

5665 Wilshire Blvd
Los Angeles, CA 90036
Phone (209) 372-7025

350 Parnassus Ave
#700B
San Francisco, CA 94117
Phone (424) 600-8360

6700 Race Track Rd
Bowie, MD 20715
Phone (301) 383-2581

20410 Observation Dr
Ste 105
Germantown, MD 20876
Phone (240) 805-5045

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1801472121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 IVY LEAGUE LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501878",
            "telephone_number": "240-498-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 IVY LEAGUE LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501878",
            "telephone_number": "240-498-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISPIRITO",
        "first_name": "EVANGELINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX4307",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "DC",
            "license": "DI100001141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Wellbeingnutrition.net",
            "affiliation": "N",
            "address_1": "672 Ivy League Ln",
            "city": "Rockville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208501878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 18, 2021; 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.