Active NPI
Liny Natalia Lee, MS, RD, CSG, CSR
- Registered Dietitian
- Fairfax, VA
National Provider Identifier
1881319879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1073392
- Practice address
- 10521 Rosehaven St Ste 300
Fairfax, VA 22030-2877 - Phone
- (415) 244-8853
- NPI assigned
- Oct 11, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1073392 | CA | Primary |
| Renal Nutrition Registered Dietitian | 133VN1005X | 1073392 | CA | |
| Gerontological Nutrition Registered Dietitian | 133VN1101X | 1073392 | CA |
Addresses
Primary practice location
10521 Rosehaven St Ste 300
Fairfax, VA 22030-2877
Mailing address
3871 Bradwater St
Fairfax, VA 22031-3706
Phone (415) 244-8853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250331000008 | VA | Practitioner - Registered Dietitian Or Nutrition Professional | 2365965456 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1073392 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H3 Nutrition, LLC | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Locations
10521 Rosehaven St
Ste 300
Fairfax, VA 22030
Phone (415) 244-8853
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": "1665446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1881319879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3871 BRADWATER ST",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220313706",
"telephone_number": "415-244-8853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10521 ROSEHAVEN ST STE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302877",
"telephone_number": "415-244-8853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "LINY",
"middle_name": "NATALIA",
"credential": "MS, RD, CSG, CSR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-11",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1073392",
"primary": true
},
{
"code": "133VN1005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "CA",
"license": "1073392",
"primary": false
},
{
"code": "133VN1101X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Gerontological",
"state": "CA",
"license": "1073392",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.