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MS. ANGELA CANNAVO CNS
NPI 1972380913
Nutritionist in Fairfax, VA

Active since September 13, 2023
3903 FAIR RIDGE DR, FAIRFAX, VA 22033(703) 865-6490 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Angela Cannavo Cns NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ANGELA CANNAVO CNS (NPI 1972380913) is an individual nutritionist in Fairfax, Virginia, licensed in District Of Columbia (NU200000233) and active in the NPI registry since September 2023. She maintains a secondary practice location in Fredericksburg.

NPPES Registry Identity

NPI1972380913
Entity TypeIndividualFemale
Primary Taxonomy133N00000X
Provider Legal NameMS. ANGELA CANNAVOCredential: CNS
Location Address3903 FAIR RIDGE DRFairfax, VA 22033-2943
Mailing Address3531 Georgia Ave NwWashington, DC 20010-1707
Phone(703) 865-6490
Sole ProprietorNo
Enumeration DateSeptember 13, 2023
Last NPPES UpdateDecember 23, 2024
NPPES CertifiedDecember 23, 2024
✔ NPI 1972380913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
License✔ Licensed in DC · NU200000233
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X · License NU200000233 (DC)
3903 FAIR RIDGE DR, Fairfax, VA 22033
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Secondary Practice Location 1

Location 19928 Matti Hill CtFredericksburg, VA 22408-9222 · Phone (540) 273-6298

Other Identifiers 1

OtherNU00000233DC · Department Of Health

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Angela Cannavo Cns is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Angela Cannavo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group, LLC
14 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 1,534 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA BOUGIE RDN
Dietitian, Registered
3903 FAIR RIDGE DR
FAIRFAX, VA 22033
Fairfax County (571) 748-6704
NOVA PHYSICIAN WELLNESS CENTER PLLC
Family Medicine
3903 FAIR RIDGE DR, SUITE 219
FAIRFAX, VA 22033
Fairfax County (703) 865-6490
DR. RICHARD D PAPP D.D.S.
Dentist
3903 FAIR RIDGE DR, SUITE 214
FAIRFAX, VA 22033
Fairfax County (703) 263-9388
SAXENA DENTAL FAIRFAX, PLC
Dentist (General Practice)
3903 FAIR RIDGE DR, SUITE 214
FAIRFAX, VA 22033
Fairfax County (703) 877-0775
MICHAEL W. CHANG, DDS, PLLC
Dentist (General Practice)
3903 FAIR RIDGE DR, SUITE 207
FAIRFAX, VA 22033
Fairfax County (703) 385-2772
PRIMA MEDICINE
Internal Medicine
3903 FAIR RIDGE DR, SUITE 218
FAIRFAX, VA 22033
Fairfax County (703) 870-3750
WESTFIELDS DENTAL
Dentist (General Practice)
3903 FAIR RIDGE DR, SUITE 214
FAIRFAX, VA 22033
Fairfax County (703) 263-9388
ADVANCED COSMETIC DENTISTRY OF NOVA
Dentist
3903 FAIR RIDGE DR, SUITE # 212
FAIRFAX, VA 22033
Fairfax County (703) 865-6880

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 Angela Cannavo's NPI number?

The NPI number for Angela Cannavo is 1972380913. It was assigned to this individual provider in the NPPES registry on September 13, 2023.

Where is Angela Cannavo located?

Angela Cannavo practices at 3903 Fair Ridge Dr, Fairfax, VA 22033. The listed phone number is (703) 865-6490.

What is Angela Cannavo's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Is Angela Cannavo enrolled in Medicare?

Yes. Angela Cannavo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angela Cannavo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Cannavo reassigns Medicare benefits to Privia Medical Group, LLC (Arlington, VA). The 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 Angela Cannavo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Angela Cannavo was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.