Pediatric Nutrition Support

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

633 Issued in WV

Legal business name

PEDIATRIC NUTRITION SUPPORT

Practice address

38731 Rickard Rd
Lovettsville, VA 20180-3115

Phone

(703) 727-6100

NPI assigned

Feb 14, 2014

Organization subpart

No

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

Authorized official

Name

Sheree A Hughes, RD, LD

Title

Pediatric Dietitian

Phone

(703) 727-6100

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1902220692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38731 RICKARD RD",
            "city": "LOVETTSVILLE",
            "state": "VA",
            "postal_code": "201803115",
            "telephone_number": "703-727-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38731 RICKARD RD",
            "city": "LOVETTSVILLE",
            "state": "VA",
            "postal_code": "201803115",
            "telephone_number": "703-727-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NUTRITION SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "SHEREE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PEDIATRIC DIETITIAN",
        "authorized_official_telephone_number": "703-727-6100",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "WV",
            "license": "633",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "VA",
            "license": "676968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Meyer, D.D.S.
• Morgan Moore
• Julie Oswald, RN, IBCLC
• Palmercare Chiropractic Lovettsville LLC
• Tanya Lynn Pederson, D.C.
• Coree Marie Reuter-McNamara, MS, ATC
• Ride-on Ranch Equine Assisted Therapies
• Kristin Anne Sacoto, OT
• Graycen Lee Scott, DPT
• Jacob Xavier See, COTA

• Early Intervention Provider Agency in Lovettsville, VA
• Providers in Lovettsville, VA by specialty
• Early Intervention Provider Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.