NPIMap

Organization Active NPI

Nuleeu Nutrition and Wellness, LLC

Doing business as Hampton Roads Nutrition

  • Registered Dietitian
  • Chesapeake, VA
National Provider Identifier
1922576198
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NULEEU NUTRITION AND WELLNESS, LLC
Doing business as
Hampton Roads Nutrition
Practice address
1545 Crossways Blvd Ste 250
Chesapeake, VA 23320-0218
Phone
(757) 339-3624
NPI assigned
Nov 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Authorized official

Name
Anne Etherton, RD
Title
Owner
Phone
(757) 339-3624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1545 Crossways Blvd Ste 250
Chesapeake, VA 23320-0218

Mailing address

1517 Technology Dr Ste 101
Chesapeake, VA 23320-5985
Phone (757) 339-3624

Other practice location 1

1517 Technology Dr Ste 101
Chesapeake, VA 23320-5985
Phone (757) 339-3624

Other identifiers 2

IdentifierTypeStateIssuer
1275001430OtherNPI TYPE 1
1881212959OtherNPT TYPE 1

Other names 1

  • Hampton Roads Nutrition Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190222001802 VA Part B Supplier - Clinic/Group Practice 7517206386 Receives reassigned benefits from 3 practitioners
Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Locations

501 Independence Pkwy
Ste 310
Chesapeake, VA 23320

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

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1922576198",
    "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": "757-339-3624",
            "fax_number": "855-539-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 CROSSWAYS BLVD STE 250",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200218",
            "telephone_number": "757-339-3624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1517 Technology Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233205985",
            "country_code": "US",
            "telephone_number": "757-339-3624",
            "fax_number": "855-539-9634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NULEEU NUTRITION AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "ETHERTON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-339-3624",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1275001430",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPT TYPE 1",
            "identifier": "1881212959",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hampton Roads Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 18, 2021; 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.