ELAINE MARIE KOHLHEPP


Address: 12418 Willow Falls Dr, Herndon, VA 20170-2086
Phone: 7034215279

ELAINE MARIE KOHLHEPP (NPI# 1619176161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619176161
Entity Type Individual
Full Name ELAINE MARIE KOHLHEPP
Credential R.D., C.S.R.
Practice Address 12418 Willow Falls Dr
Herndon
VA 20170-2086
Practice Telephone 7034215279
Mailing Telephone 7034215279
Enumeration Date 2007-07-15
Last Update Date 2007-07-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1005X Dietitian, Registered
Specialization: Nutrition, Renal
Dietary & Nutritional Service Providers

Office Location

Street Address 12418 WILLOW FALLS DR
City HERNDON
State VA
Zip Code 20170-2086

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Taxonomy Information

Taxonomy Code 133VN1005X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Renal

Taxonomy Definition

Definition to come...

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1790162691 Keystone Nutrition, LLC Dietitian, Registered 11710 Plaza America Dr, Suite 2000, Reston, VA 20190-4742 2015-04-29
1265499545 June Maxine Powell Dietitian, Registered 1118 Tamarack Ln, Salem, VA 24153-4002 2006-04-28
1235775990 Lesley Mcphatter Dietitian, Registered 103 Clifton St, Lynchburg, VA 24501-1460 2019-11-18
1043853575 Joanne Craig Drumheller Dietitian, Registered 103 Clifton St, Lynchburg, VA 24501-1460 2019-10-28
1952944480 Ann Cooper Allison Dietitian, Registered 103 Clifton St, Lynchburg, VA 24501-1460 2019-10-28
1841797131 Carlee Moeller Dietitian Consultant Dietitian, Registered 7001 W Broad St, Richmond, VA 23294-3701 2018-04-12
1285136234 Carlee R Moeller Dietitian, Registered 7001 W Broad St, Richmond, VA 23294-3701 2018-03-06
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Competitor

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City HERNDON
Zip Code 20170

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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