MEDICARE: MISS JORDAN PAIGE SPIVAK MS, RD, LDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	164.007548	IL
2	133V00000X	Registered Dietitian	DI200001355	DC

General Provider Information

NPI Number	:	1073084588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JORDAN PAIGE SPIVAK MS, RD, LDN

Provider Business Mailing Address
First Line	:	2100 S QUEBEC ST
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-5122
Country	:	US
Telephone Number	:	630-615-9144
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 S QUEBEC ST
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-5122
Country	:	US
Telephone Number	:	630-615-9144
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2018
Last Update Date	:	09/03/2024

Similar Medicare Providers

1831028091 — SYDNEE AUTUMN EMORY
Practice Location Address:

1600 S JOYCE ST APT 1017
ARLINGTON, VA
22202-5122

Practice Phone: 302-740-9003
Practice Fax:

1912901273 — JOSEPH KENNETH MARSHALL M.D.
Practice Location Address:

2921 11TH ST S
ARLINGTON, VA
22204-0827

Practice Phone: 703-979-1425
Practice Fax:

1194726794 — MR. ERIC DANIEL CIPRIANO LCSW
Practice Location Address:

4000 ARLINGTON BLVD, FOREIGN SERVICE INSTITUTE , FSI/TC/CEFAR
ARLINGTON, VA
22204-2220

Practice Phone: 703-746-2937
Practice Fax:

1588665962 — DR. EDWARD ZINN MD
Practice Location Address:

333 S GLEBE RD , SUITE 104
ARLINGTON, VA
22204-1639

Practice Phone: 703-524-6942
Practice Fax:

1619964137 — TERENCE JOHN MCMANUS F.N.P.
Practice Location Address:

2921 11TH ST S
ARLINGTON, VA
22204-0827

Practice Phone: 703-979-1425
Practice Fax: 703-979-1436

1659368538 — ROBERT MAMAN MD
Practice Location Address:

2100 WASHINGTON BLVD
ARLINGTON, VA
22204-5703

Practice Phone: 703-228-5150
Practice Fax: 703-228-5157

Directions to “ MISS JORDAN PAIGE SPIVAK MS, RD, LDN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.