Pearl Nutrition

LBN: Viva Velocity, Llc
Pearl Nutrition is an health care organization with primary practice located at 12330 Pinecrest Rd Ste 125 , Reston VA 20191-1655. The organization recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Dietitian, Registered is the primary health care specialty. Viva Velocity, Llc can be contacted via phone (312) 952-6012, or through Kresha, Carmen J via phone (312) 952-6012.

Contact Information

Primary practice address
12330 Pinecrest Rd Ste 125 Reston VA 20191-1655
Phone: (312) 952-6012
Fax: (844) 246-8462
Website:
Map and Directions
Authorized official contact:
Name: Kresha, Carmen J Registered Dietitian (RD)
Phone: (312) 952-6012

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X

Profile Details

NPI number 1932743192
LBN Legal business name Viva Velocity, Llc
DBA Doing business as Pearl Nutrition
Authorized official Kresha, Carmen J Registered Dietitian (RD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2019
Last updated Jul 25th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932743192 NPPES
Virginia Other 1467705079 NPI

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