Active NPI
Evangelina Dispirito
- Obesity and Weight Management Nutrition Registered Dietitian
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity and Weight Management Nutrition Registered Dietitian
- License
- DI100001141
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Wellbeingnutrition.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| DX4307 | MD | MD | Registered Dietitian |
| DI100001141 | DC | MD | Obesity and Weight Management Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Health Weight Management, LLC | Dietitian, Registered | Current | Accepting new patients |
| Zaghi Medical Inc | Dietitian, Registered | Current | 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
- 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.
-
- Family Medicine Physician
- Linthicum Heights, MD
- NPI 1013785971
Dietitian, Registered
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.