BOUNDLESS NUTRITION LLC
NPI 1033828694
Clinic/Center in Fairfax, VA
About Boundless Nutrition Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOUNDLESS NUTRITION LLC (NPI 1033828694) is a healthcare organization registered as a clinic/center in Fairfax, Virginia and active in the NPI registry since November 2022. The organization lists Miriam Eackloff, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Boundless Nutrition Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Boundless Nutrition LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Boundless Nutrition LLC's NPI number?
The NPI number for Boundless Nutrition LLC is 1033828694. It was assigned to this organization in the NPPES registry on November 22, 2022.
Where is Boundless Nutrition LLC located?
Boundless Nutrition LLC is located at 13112 Moss Ranch Ln, Fairfax, VA 22033. The listed phone number is (703) 705-2720.
What is Boundless Nutrition LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Boundless Nutrition LLC enrolled in Medicare?
Yes. Boundless Nutrition LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Boundless Nutrition LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Registered Dietitian or Nutrition Professional, reassign their Medicare billing to Boundless Nutrition LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Boundless Nutrition LLC was last updated on November 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Boundless Nutrition Llc · NPI 1033828694
Clinic/Center organization in Fairfax, Virginia. Organization record, active in the CMS NPPES registry since November 22, 2022.
## Identity
- **NPI:** 1033828694 (Entity type: Organization)
- **Enumerated:** November 22, 2022
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Miriam Eackloff, OWNER
## Practice location
- **Address:** 13112 MOSS RANCH LN, Fairfax, VA 22033-3524
- **Phone:** (703) 705-2720
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Registered Dietitian or Nutrition Professional) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1033828694) · Data from the CMS NPPES public registry.