Nutrition & Fitness on the Move LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DX3601 Issued in MD

Legal business name

NUTRITION & FITNESS ON THE MOVE LLC

Practice address

3622 Serendipity Rd
Woodbridge, VA 22193-1093

Phone

(703) 980-9842

NPI assigned

May 31, 2017

Organization subpart

No

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

Authorized official

Name

Shantelle M Bethea, RDN

Title

Owner

Phone

(703) 980-9842

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496188800000",
    "number": "1821526153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 SERENDIPITY RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 SERENDIPITY RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931093",
            "telephone_number": "703-980-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION & FITNESS ON THE MOVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2017-05-31",
        "status": "A",
        "authorized_official_last_name": "BETHEA",
        "authorized_official_first_name": "SHANTELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-980-9842",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX3601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; 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.