Boundless Nutrition LLC
NPI 1033828694 · Clinic/Center · Fairfax, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Boundless Nutrition LLC is a Clinic/Center organization in Fairfax, VA (NPI 1033828694).
Provider details
- NPI number
- 1033828694
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Miriam Eackloff, Owner(703) 705-2720
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-11-22
- Last updated
- 2022-11-22
- Certified
- 2022-11-22
Frequently asked questions
- What is Boundless Nutrition LLC's NPI number?
- Boundless Nutrition LLC's National Provider Identifier (NPI) is 1033828694, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boundless Nutrition LLC?
- Boundless Nutrition LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Boundless Nutrition LLC located?
- Boundless Nutrition LLC's practice location on file with NPPES is 13112 Moss Ranch Ln, Fairfax, VA 22033-3524.
- What is Boundless Nutrition LLC's phone number?
- The practice phone number listed in the NPPES registry for Boundless Nutrition LLC is (703) 705-2720.
- Does Boundless Nutrition LLC accept Medicare?
- Boundless Nutrition LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Boundless Nutrition LLC?
- The authorized official listed on Boundless Nutrition LLC's NPPES record is Miriam Eackloff, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boundless Nutrition LLC's NPI active?
- Yes — Boundless Nutrition LLC's NPI (1033828694) is active in the NPPES registry as of the last update on 2022-11-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.