Tidewater Nutrition LLC
NPI 1710585245 · Registered Dietitian · Centreville, MD
Tidewater Nutrition LLC is a Registered Dietitian organization in Centreville, MD (NPI 1710585245).
Provider details
- NPI number
- 1710585245
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Molly Rusch, Registered Dietitian(410) 279-0621
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- 2020-10-16
- Last updated
- 2020-10-16
- Certified
- 2020-10-15
Frequently asked questions
- What is Tidewater Nutrition LLC's NPI number?
- Tidewater Nutrition LLC's National Provider Identifier (NPI) is 1710585245, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidewater Nutrition LLC?
- Tidewater Nutrition LLC is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Tidewater Nutrition LLC located?
- Tidewater Nutrition LLC's practice location on file with NPPES is 120 Mckenney Ln, Centreville, MD 21617-2139.
- What is Tidewater Nutrition LLC's phone number?
- The practice phone number listed in the NPPES registry for Tidewater Nutrition LLC is (410) 279-0621.
- Who is the authorized official for Tidewater Nutrition LLC?
- The authorized official listed on Tidewater Nutrition LLC's NPPES record is Molly Rusch, Registered Dietitian. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidewater Nutrition LLC's NPI active?
- Yes — Tidewater Nutrition LLC's NPI (1710585245) is active in the NPPES registry as of the last update on 2020-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.