Active NPI
Katherine Lusorio, CNS, LDN, MS
- Nutritionist
- Chevy Chase, MD
National Provider Identifier
1871241273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- DX5449
- Practice address
- 4730 Bradley Blvd Apt 304
Chevy Chase, MD 20815-6333 - Phone
- (301) 785-8175
- NPI assigned
- Mar 15, 2022
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | DX5449 | MD | Primary |
Addresses
Primary practice location
4730 Bradley Blvd Apt 304
Chevy Chase, MD 20815-6333
Mailing address
4730 Bradley Blvd Apt 304
Chevy Chase, MD 20815-6333
Phone (301) 785-8175
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18207 | Other | CERTIFIED NUTRITION SPECIALIST | |
| DX5449 | Other | MD | LICENSED DIETITIAN NUTRITIONIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Specialist, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DX5449 | MD | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1871241273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4730 BRADLEY BLVD APT 304",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208156333",
"telephone_number": "301-785-8175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4730 BRADLEY BLVD APT 304",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208156333",
"telephone_number": "301-785-8175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSORIO",
"first_name": "KATHERINE",
"credential": "CNS, LDN, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-15",
"last_updated": "2024-06-17",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "MD",
"license": "DX5449",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED NUTRITION SPECIALIST",
"identifier": "18207",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED DIETITIAN NUTRITIONIST",
"identifier": "DX5449",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.