Provider Demographics
NPI:1831635127
Name:NUTRITION ON THE GO INC.
Entity Type:Organization
Organization Name:NUTRITION ON THE GO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED CLINICAL DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, LDN
Authorized Official - Phone:301-263-7319
Mailing Address - Street 1:22841 GLACIER LILY DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-6331
Mailing Address - Country:US
Mailing Address - Phone:240-447-4677
Mailing Address - Fax:
Practice Address - Street 1:1201 SEVEN LOCKS RD STE 360
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20854-6901
Practice Address - Country:US
Practice Address - Phone:301-263-7319
Practice Address - Fax:301-263-7319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-11
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1083262133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty