Organization Active NPI

Dietz Nutritional Consulting LLC

  • Registered Dietitian
  • Danville, VA
National Provider Identifier
1992029409
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
862411 Issued in VA
Legal business name
DIETZ NUTRITIONAL CONSULTING LLC
Practice address
625 Piney Forest Rd Ste 306D
Danville, VA 24540-2869
Phone
(434) 548-0476
Fax
(434) 791-3330
NPI assigned
Mar 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Jennifer DietzNPI 1790917979
Title
Owner/Dietitian
Phone
(434) 548-0476

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: 193400000X SINGLE SPECIALTY GROUP 133V00000X 862411 VA Primary

Addresses

Primary practice location

625 Piney Forest Rd Ste 306D
Danville, VA 24540-2869

Mailing address

625 Piney Forest Rd Ste 306D
Danville, VA 24540-2869
Phone (434) 548-0476

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100720000175 VA Part B Supplier - Clinic/Group Practice 7214069723 Receives reassigned benefits from 1 practitioner
Practice locations: Danville, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1992029409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 PINEY FOREST RD STE 306D",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245402869",
            "telephone_number": "434-548-0476",
            "fax_number": "434-791-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PINEY FOREST RD STE 306D",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245402869",
            "telephone_number": "434-548-0476",
            "fax_number": "434-791-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIETZ NUTRITIONAL CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-14",
        "status": "A",
        "authorized_official_last_name": "DIETZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/DIETITIAN",
        "authorized_official_telephone_number": "434-548-0476"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "862411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.