Individual provider Active NPI

Julia Mutter, RD, LDN

  • Registered Dietitian
  • Olney, MD
National Provider Identifier
1851792428
Registry record updated Sep 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
D02310 Issued in MD
Practice address
4364 Morningwood Dr
Olney, MD 20832-2829
Phone
(202) 437-0641
NPI assigned
Sep 14, 2014
Last updated
Sep 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X D02310 MD Primary
Registered Dietitian 133V00000X DI100000110 DC

Addresses

Primary practice location

4364 Morningwood Dr
Olney, MD 20832-2829

Mailing address

4364 Morningwood Dr
Olney, MD 20832-2829
Phone (202) 437-0641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180524000737 DC Practitioner - Registered Dietitian Or Nutrition Professional 6305101205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11006 Veirs Mill Rd
Wheaton, MD 20902-2582
Phone (301) 681-4422

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI100000110DCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Services of Holy Cross CurrentSince May 1, 2018 Accepting new patients
Professional Services of Holy Cross CurrentSince May 1, 2018 Accepting new patients

Locations

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

11006 Veirs Mill Rd
Ste L1
Wheaton, MD 20902
Phone (301) 681-4422

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1410652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410652800000",
    "number": "1851792428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4364 MORNINGWOOD DR",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322829",
            "telephone_number": "202-437-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4364 MORNINGWOOD DR",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322829",
            "telephone_number": "202-437-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTTER",
        "first_name": "JULIA",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-14",
        "last_updated": "2014-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "D02310",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "DC",
            "license": "DI100000110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.