Healthcare Provider Details

I. General information

NPI: 1942618749
Provider Name (Legal Business Name): PINNEY DAVENPORT NUTRITION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2014
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4910 MASSACHUSETTS AVE NW STE 314
WASHINGTON DC
20016-4400
US

IV. Provider business mailing address

4910 MASSACHUSETTS AVE NW STE 314
WASHINGTON DC
20016-4400
US

V. Phone/Fax

Practice location:
  • Phone: 202-997-6372
  • Fax: 888-861-1249
Mailing address:
  • Phone: 202-997-6372
  • Fax: 888-861-1249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDI447
License Number StateDC

VIII. Authorized Official

Name: ELIZABETH DAVENPORT
Title or Position: OWNER
Credential: MPH, RD, LD, CEDS
Phone: 202-997-6372