Organization Active NPI

Nutrition Therapy Works

  • Renal Nutrition Registered Dietitian
  • Newport News, VA
National Provider Identifier
1962924910
Registry record updated May 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
Legal business name
NUTRITION THERAPY WORKS
Practice address
13195 Warwick Blvd Ste 2B
Newport News, VA 23602-8313
Phone
(757) 570-6588
Fax
(757) 534-7801
NPI assigned
Jul 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2022

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

Authorized official

Name
Miranda Hayden, RDNPI 1174730121
Title
Owner/Registered Dietitian
Phone
(757) 570-6588

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
Renal Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1005X Primary

Addresses

Primary practice location

13195 Warwick Blvd Ste 2B
Newport News, VA 23602-8313

Mailing address

35 Crestwood Dr
Newport News, VA 23601-1105
Phone (757) 570-6588

National Provider Directory

National Provider Directory

Locations

13195 Warwick Blvd
Ste 2B
Newport News, VA 23602
Phone (757) 570-6588

Practitioners & affiliated clinicians

Practitioners 2

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": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651363200000",
    "number": "1962924910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CRESTWOOD DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011105",
            "telephone_number": "757-570-6588",
            "fax_number": "757-534-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13195 WARWICK BLVD STE 2B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236028313",
            "telephone_number": "757-570-6588",
            "fax_number": "757-534-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION THERAPY WORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A",
        "authorized_official_last_name": "HAYDEN",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "OWNER/REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "757-570-6588",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2022; 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.