Individual provider Active NPI

Carolina Ysibel Sierra, LN

  • Nutritionist
  • Washington, DC
National Provider Identifier
1942800180
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
NU10000228 Issued in DC
Practice address
3912 Georgia Ave NW
Washington, DC 20011-5861
Phone
(202) 729-6838
NPI assigned
Oct 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X DX5103 MD
Nutritionist 133N00000X NU10000228 DC Primary

Addresses

Primary practice location

3912 Georgia Ave NW
Washington, DC 20011-5861

Mailing address

3220 Connecticut Ave NW Apt 316
Washington, DC 20008-2516
Phone (301) 503-0919

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240913001584 PA Practitioner - Registered Dietitian Or Nutrition Professional 5395152045 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NU10000228DCMDNutritionist
DX5103MDMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Simplex Health CurrentSince Aug 1, 2024 Accepting new patients
Adrian Chiu, PH.D., PLLC PastSince Dec 1, 2023 Accepting new patients

Locations

300 Brookside Ave
Ste 180
Ambler, PA 19002
Phone (484) 450-8488

300 Brookside Ave
Bldg 4
Ambler, PA 19002
Phone (267) 702-4862

300 Brookside Ave
Bldg 18
Ambler, PA 19002
Phone (877) 842-2425

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": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1942800180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 CONNECTICUT AVE NW APT 316",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082516",
            "telephone_number": "301-503-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3912 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115861",
            "telephone_number": "202-729-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERRA",
        "first_name": "CAROLINA",
        "middle_name": "YSIBEL",
        "credential": "LN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX5103",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "DC",
            "license": "NU10000228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.