Individual provider Active NPI

Nicole Veronique Brown, M.S., R.D., L.D.

  • Registered Dietitian
  • Springfield, VA
National Provider Identifier
1932266269
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI10000023 Issued in DC
Practice address
6305 Cardinal Hill PL
Springfield, VA 22152-2233
Phone
(703) 969-6114
Fax
(703) 991-1254
NPI assigned
Jan 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI10000023 DC Primary

Addresses

Primary practice location

6305 Cardinal Hill PL
Springfield, VA 22152-2233

Mailing address

6305 Cardinal Hill PL
Springfield, VA 22152-2233
Phone (703) 969-6114

Other identifiers 3

IdentifierTypeStateIssuer
DI10000023OtherDCLICENSE
608347OtherHEALTH FITNESS CERTIFICAT
716396OtherDIETITIAN REGISTRATION #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100222000387 DC Practitioner - Registered Dietitian Or Nutrition Professional 3971647439 Practice locations: Washington, DC; Springfield, VA

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6305 Cardinal Hill PL
Springfield, VA 22152-2233
Phone (703) 969-6114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DI10000023DCMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932266269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 CARDINAL HILL PL",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522233",
            "telephone_number": "703-969-6114",
            "fax_number": "703-991-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 CARDINAL HILL PL",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522233",
            "telephone_number": "703-969-6114",
            "fax_number": "703-991-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NICOLE",
        "middle_name": "VERONIQUE",
        "name_prefix": "Ms.",
        "credential": "M.S., R.D., L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "DC",
            "license": "DI10000023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DI10000023",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FITNESS CERTIFICAT",
            "identifier": "608347",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIETITIAN REGISTRATION #",
            "identifier": "716396",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.