Active NPI
Rachel Elaine Sheahan
- Registered Dietitian
- Washington, DC
National Provider Identifier
1962041442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI100000992
- Practice address
- 1612 U St NW
Washington, DC 20009-6221 - Phone
- (202) 939-3577
- NPI assigned
- Dec 31, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI100000992 | DC | Primary |
Addresses
Primary practice location
1612 U St NW
Washington, DC 20009-6221
Mailing address
1612 U St NW
Washington, DC 20009-6221
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rsheahan@vidafitness.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI100000992 | DC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolve Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
1612 U St NW
Washington, DC 20009
Phone (202) 939-2577
Organizations & group practices 1
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": "1577750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577750400000",
"number": "1962041442",
"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": "202-939-3577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEAHAN",
"first_name": "RACHEL",
"middle_name": "ELAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-31",
"last_updated": "2019-12-31",
"certification_date": "2019-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "DC",
"license": "DI100000992",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rsheahan@vidafitness.com",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "1612 U St NW",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200096221",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.