Individual provider Active NPI

Annyck Besso, RD

  • Registered Dietitian
  • Washington, DC
National Provider Identifier
1992237911
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
909 G St SE
Washington, DC 20003-2819
Phone
(202) 738-4726
Fax
(180) 023-8951
NPI assigned
Mar 29, 2017
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

909 G St SE
Washington, DC 20003-2819

Mailing address

909 G St SE
Washington, DC 20003-2819
Phone (202) 738-4726

Other practice location 1

2001 Jefferson Davis Hwy
Suite 211
Arlington, VA 22202-3603
Phone (202) 552-0769

Other practice location 2

4250 Fairfax Dr Ste 600
Arlington, VA 22203
Phone (571) 328-7408 ext. 803

Other practice location 3

4934 rue Saint Denis
Montreal, Quebec H2J 2L6
CA
Phone (202) 677-5261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 5, 2022 through Apr 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sooma LLC Dietitian, Registered CurrentSince Oct 1, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1992237911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 G ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032819",
            "telephone_number": "202-738-4726",
            "fax_number": "180-023-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 G ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032819",
            "telephone_number": "202-738-4726",
            "fax_number": "180-023-8951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Jefferson Davis Hwy",
            "address_2": "Suite 211",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222023603",
            "country_code": "US",
            "telephone_number": "202-552-0769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4250 Fairfax Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "22203",
            "country_code": "US",
            "telephone_number": "571-328-7408 x803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4934 rue Saint Denis",
            "address_purpose": "LOCATION",
            "city": "Montreal",
            "state": "Quebec",
            "postal_code": "H2J 2L6",
            "country_code": "CA",
            "telephone_number": "202-677-5261",
            "country_name": "Canada",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "BESSO",
        "first_name": "ANNYCK",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2024-04-30",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.