Organization Active NPI

Evolve Nutrition LLC

  • Registered Dietitian
  • Washington, DC
National Provider Identifier
1942906003
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
EVOLVE NUTRITION LLC
Practice address
1612 U St NW
Washington, DC 20009-6221
Phone
(434) 242-6664
NPI assigned
Jan 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Rachel Leach, MS, RDNPI 1104384551
Title
Registered Dietitian
Phone
(434) 242-6664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1612 U St NW
Washington, DC 20009-6221

Mailing address

1612 U St NW
Washington, DC 20009-6221

National Provider Directory

National Provider Directory

Locations

1517 15th St NW
Washington, DC 20005
Phone (202) 588-5559

1612 U St NW
Washington, DC 20009
Phone (202) 939-2577

445 K St NW
Washington, DC 20001
Phone (202) 289-8432

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1942906003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 U ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200096221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 U ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200096221",
            "telephone_number": "434-242-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "434-242-6664",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "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 Feb 7, 2023; 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.