Ellad Nutrition Consulting, LLC
NPI 1700123064 · Multi-Specialty Clinic/Center · Chesterfield, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ellad Nutrition Consulting, LLC is a Multi-Specialty Clinic/Center organization in Chesterfield, VA (NPI 1700123064).
Provider details
- NPI number
- 1700123064
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tyra Tanner, Clinical Director(804) 616-4378
Specialties & taxonomies
Ambulatory Health Care Facilities
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Adult Health Nurse Practitioner363LA2200X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
- Clinical Nurse Specialist364S00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Other names (DBA / former)
- Doing business as
- Ellad Preventative Health Services
- Doing business as
- Eph Mental Health Services
Registry dates
- Enumerated
- 2013-01-07
- Last updated
- 2025-01-11
- Certified
- 2025-01-11
Frequently asked questions
- What is Ellad Nutrition Consulting, LLC's NPI number?
- Ellad Nutrition Consulting, LLC's National Provider Identifier (NPI) is 1700123064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ellad Nutrition Consulting, LLC?
- Ellad Nutrition Consulting, LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ellad Nutrition Consulting, LLC located?
- Ellad Nutrition Consulting, LLC's practice location on file with NPPES is 9401 Courthouse Rd Ste 202, Chesterfield, VA 23832-6687.
- What is Ellad Nutrition Consulting, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ellad Nutrition Consulting, LLC is (804) 616-4378.
- Does Ellad Nutrition Consulting, LLC accept Medicare?
- Ellad Nutrition Consulting, 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 Ellad Nutrition Consulting, LLC?
- The authorized official listed on Ellad Nutrition Consulting, LLC's NPPES record is Tyra Tanner, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ellad Nutrition Consulting, LLC's NPI active?
- Yes — Ellad Nutrition Consulting, LLC's NPI (1700123064) is active in the NPPES registry as of the last update on 2025-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.