Active NPI
Mary L Hunt, M.S. R.D.
- Registered Dietitian
- Fairfax, VA
National Provider Identifier
1821255548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 690158
- Practice address
- 8316 Arlington Blvd Ste 310
Fairfax, VA 22031-5216 - Phone
- (703) 641-0333
- Fax
- (703) 573-3316
- NPI assigned
- May 20, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 690158 | VA | Primary |
Addresses
Primary practice location
8316 Arlington Blvd Ste 310
Fairfax, VA 22031-5216
Mailing address
8316 Arlington Blvd Ste 310
Fairfax, VA 22031-5216
Phone (703) 641-0333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 4, 2015 through Sep 4, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 690158 | VA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1821255548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8316 ARLINGTON BLVD STE 310",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220315216",
"telephone_number": "703-641-0333",
"fax_number": "703-573-3316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8316 ARLINGTON BLVD STE 310",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220315216",
"telephone_number": "703-641-0333",
"fax_number": "703-573-3316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNT",
"first_name": "MARY",
"middle_name": "L",
"credential": "M.S. R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-20",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "690158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.