Active NPI
Elizabeth Fay, RD
- Registered Dietitian
- Chesapeake, VA
National Provider Identifier
1881212959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1097941
- 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
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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1097941 | VA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuleeu Nutrition and Wellness, LLC | Dietitian, Registered | Current | 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.
-
- Registered Dietitian
- Chesapeake, VA
- NPI 1922576198
Dietitian, Registered
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.