Individual provider Active NPI

Elizabeth Fay, RD

  • Registered Dietitian
  • Chesapeake, VA
National Provider Identifier
1881212959
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1097941 Issued in VA
Practice address
1517 Technology Dr Ste 101
Chesapeake, VA 23320-5985
Phone
(757) 339-3624
Fax
(855) 539-9634
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1097941 VA Primary

Addresses

Primary practice location

1517 Technology Dr Ste 101
Chesapeake, VA 23320-5985

Mailing address

1517 Technology Dr Ste 101
Chesapeake, VA 23320-5985
Phone (573) 393-6247

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200831000727 VA Practitioner - Registered Dietitian Or Nutrition Professional 6002233442 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1097941VAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nuleeu Nutrition and Wellness, LLC Dietitian, Registered CurrentSince Aug 19, 2020 Accepting new patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients

Locations

1545 Crossways Blvd
Ste 250
Chesapeake, VA 23320
Phone (757) 206-2772

501 Independence Pkwy
Ste 310
Chesapeake, VA 23320

1517 Technology Dr
Ste 101
Chesapeake, VA 23320
Phone (757) 339-3624

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1881212959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 TECHNOLOGY DR STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205985",
            "telephone_number": "573-393-6247",
            "fax_number": "855-539-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 TECHNOLOGY DR STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205985",
            "telephone_number": "757-339-3624",
            "fax_number": "855-539-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAY",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "1097941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.