Active NPI
Ian Patrick Winter, RDN
- Registered Dietitian
- Norfolk, VA
National Provider Identifier
1811630635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86292737
- Practice address
- 115 College PL Ste a
Norfolk, VA 23510-1930 - Phone
- (757) 605-8181
- NPI assigned
- Apr 19, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86292737 | VA | Primary |
Addresses
Primary practice location
115 College PL Ste a
Norfolk, VA 23510-1930
Mailing address
1153 Kings Way Dr
Virginia Beach, VA 23455-5535
Phone (757) 605-8181
Other practice location 1
848 First Colonial Rd Ste B
Virginia Beach, VA 23451-6126
Phone (757) 422-4728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86292737 | VA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JWF Nutrition, LLC | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Locations
115 College Pl
Ste A
Norfolk, VA 23510
Phone (757) 340-3200
848 First Colonial Rd
#B
Virginia Beach, VA 23451
Phone (757) 422-4725
Organizations & group practices 2
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": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1811630635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1153 KINGS WAY DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234555535",
"telephone_number": "757-605-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 COLLEGE PL STE A",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101930",
"telephone_number": "757-605-8181"
}
],
"practiceLocations": [
{
"address_1": "848 First Colonial Rd Ste B",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234516126",
"country_code": "US",
"telephone_number": "757-422-4728",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINTER",
"first_name": "IAN",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-19",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "86292737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.