Active NPI
Patricia Naomi White
- Nutrition Education Nutritionist
- Cheverly, MD
National Provider Identifier
1891020038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- DX3002
- Practice address
- 2814 Woodway Place
Cheverly, MD 20785-3170 - Phone
- (301) 773-2119
- NPI assigned
- Oct 6, 2009
- 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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | DX3002 | MD | Primary |
Addresses
Primary practice location
2814 Woodway Place
Cheverly, MD 20785-3170
Mailing address
2814 Woodway Place
Cheverly, MD 20785-3170
Phone (301) 773-2119
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DX3002 | MD | MD | Nutrition Education Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition and Your Temple, LLC | Nutrition, Education | Past | Accepting new patients |
| Fay Nutrition | Past | Accepting new patients |
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.
-
- Nutrition Education Nutritionist
- Cheverly, MD
- NPI 1386973816
Nutrition, Education
-
- Registered Dietitian
- San Francisco, CA
- NPI 1104334465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254787200000",
"number": "1891020038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2814 WOODWAY PLACE",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207853170",
"telephone_number": "301-773-2119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2814 WOODWAY PLACE",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207853170",
"telephone_number": "301-773-2119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "PATRICIA",
"middle_name": "NAOMI",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-06",
"last_updated": "2009-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "MD",
"license": "DX3002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheverly, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.