Active NPI
Emily Frizell, RDN
- Obesity and Weight Management Nutrition Registered Dietitian
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity and Weight Management Nutrition Registered Dietitian
- License
- 1050634
- Practice address
- 3903 Fair Ridge Dr Ste 209
Fairfax, VA 22033-2944 - Phone
- (703) 865-6409
- NPI assigned
- Apr 26, 2021
- 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 |
|---|---|---|---|---|
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | 1050634 | VA | Primary |
Addresses
Primary practice location
3903 Fair Ridge Dr Ste 209
Fairfax, VA 22033-2944
Mailing address
3903 Fair Ridge Dr Ste 209
Fairfax, VA 22033-2944
Phone (703) 865-6409
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Fairfax | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
147 Vera Rd
Suite a
Lexington, SC 29072-3756
Phone (803) 575-0468
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Path of Life Nutrition | Nutrition, Obesity and Weight Management | Current | Accepting new patients |
| Path of Life Nutrition | Nutrition, Obesity and Weight Management | Past | Accepting new patients |
Locations
147 Vera Rd
Ste A
Lexington, SC 29072
Phone (803) 575-0468
905 Pope St
Newberry, SC 29108
Phone (803) 575-0468
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.
-
- Registered Dietitian
- Lexington, SC
- NPI 1245610534
Nutrition, Obesity and Weight Management
-
- Registered Dietitian
- Boone, NC
- NPI 1972375673
Nutrition, Obesity and Weight Management
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1962084251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3903 FAIR RIDGE DR STE 209",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332944",
"telephone_number": "703-865-6409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3903 FAIR RIDGE DR STE 209",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332944",
"telephone_number": "703-865-6409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIZELL",
"first_name": "EMILY",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-26",
"last_updated": "2021-05-05",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "VA",
"license": "1050634",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Fairfax",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3903 Fair Ridge Dr Ste 209",
"city": "Fairfax",
"state": "VA",
"country_code": "US",
"postal_code": "220332944",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.