OrganizationActive
Holistic Longevity Center
NPI 1649118811 · Nutritionist · Woodbridge, VA
Holistic Longevity Center is a Nutritionist organization in Woodbridge, VA (NPI 1649118811).
Provider details
- NPI number
- 1649118811
- Entity type
- Organization
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Jamie Bullard, Owner/Nutritionist(703) 987-7444
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
14017 Telegraph Rd
Woodbridge, VA 22192-4611
Phone: (703) 987-7444
Street-level locationGet directions
Mailing address
6111 Oaklawn Ln
Woodbridge, VA 22193-3969
Registry dates
- Enumerated
- 2026-03-23
- Last updated
- 2026-03-23
- Certified
- 2026-03-22
Frequently asked questions
- What is Holistic Longevity Center's NPI number?
- Holistic Longevity Center's National Provider Identifier (NPI) is 1649118811, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Holistic Longevity Center?
- Holistic Longevity Center is classified in the NPPES registry as Nutritionist (Dietary & Nutritional Service Providers).
- Where is Holistic Longevity Center located?
- Holistic Longevity Center's practice location on file with NPPES is 14017 Telegraph Rd, Woodbridge, VA 22192-4611.
- What is Holistic Longevity Center's phone number?
- The practice phone number listed in the NPPES registry for Holistic Longevity Center is (703) 987-7444.
- Who is the authorized official for Holistic Longevity Center?
- The authorized official listed on Holistic Longevity Center's NPPES record is Jamie Bullard, Owner/Nutritionist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Holistic Longevity Center's NPI active?
- Yes — Holistic Longevity Center's NPI (1649118811) is active in the NPPES registry as of the last update on 2026-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.