MJD Nutrition

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MJD NUTRITION

Practice address

4528 Plank Rd
Suite A3
Fredericksburg, VA 22407-0141

Phone

(804) 986-0402

NPI assigned

Jan 26, 2017

Organization subpart

No

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

Authorized official

Name

Matthew D'AriaNPI 1750825519

Title

Owner

Phone

(804) 986-0402

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, RI2 enrollments

Enrollment records 2

Locations

Practitioners 3

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

• Matthew D'Aria

  • Registered Dietitian
  • Fredericksburg, VA
  • NPI 1750825519

  Dietitian, Registered, RI

  Medicare reassignment NPD Authorized official
• Kavita Arora, PH.D., MS PT MS OTR/

  • Occupational Therapist
  • Springfield, VA
  • NPI 1932235546
  NPD (past)
• Kelci Yurgel, M.S., BCBA, LBA

  • Behavior Analyst
  • Culpeper, VA
  • NPI 1760937676
  NPD (past)

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1831636091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11512 HERONVIEW DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 PLANK RD",
            "address_2": "SUITE A3",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070141",
            "telephone_number": "804-986-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJD NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "D'ARIA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-986-0402"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehak Misha
• Mission One Services
• Maria Rosenda Mendoza Mitra
• Gregory Mitro, PT, DPT
• Linda Mixon, LCSW
• MJL Contractors Inc
• Mlovee, LLC
• La Tisha Moats, LPTA
• Mobility Prosthetics & Orthotics, Inc.
• Rebekah Lynn Moeller Hrcka, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.

Verify at the official NPI Registry.