Organization Active NPI

United Nutrition Group LLC

  • Registered Dietitian
  • Rockville, MD
National Provider Identifier
1811568389
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
UNITED NUTRITION GROUP LLC
Practice address
1609 Farragut Ave
Rockville, MD 20851-1440
Phone
(707) 685-7451
NPI assigned
Jul 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Authorized official

Name
Carl Barnes, RDNPI 1316313216
Title
Principal
Phone
(707) 685-7451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1609 Farragut Ave
Rockville, MD 20851-1440

Mailing address

5268 Nicholson LN Ste G194
Kensington, MD 20895-1009
Phone (707) 685-7451

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Simplepractice.com Direct

National Provider Directory

National Provider Directory

Locations

5268 Nicholson Ln
Ste G194
Kensington, MD 20895

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1811568389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5268 NICHOLSON LN STE G194",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951009",
            "telephone_number": "707-685-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 FARRAGUT AVE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208511440",
            "telephone_number": "707-685-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED NUTRITION GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "707-685-7451",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Simple Practice EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1609 Farragut Ave",
            "city": "Rockville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208511440",
            "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 Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.