KEYSTONE NUTRITION, LLC (NPI# 1790162691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790162691 |
| Entity Type | Organization |
| Organization Name | KEYSTONE NUTRITION, LLC |
| Practice Address |
11710 Plaza America Dr Suite 2000 Reston VA 20190-4742 |
| Mailing Address |
11704 Olde English Dr Unit E Reston VA 20190-3548 |
| Practice Telephone | 4782393552 |
| Mailing Telephone | 5705617718 |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |
| Authorized Official Name | MS. AUSTIN THOMAS (FOUNDER) |
| Authorized Official Telephone | 4782393552 |
| Authorized Official Credential | MS,RDN,LDN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
86003242 | VA | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | DN005391 | PA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NPI | 1649667528 | 01 |
| Street Address |
11710 PLAZA AMERICA DR SUITE 2000 |
| City | RESTON |
| State | VA |
| Zip Code | 20190-4742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720699374 | Megan E Mcclelland | Dietitian, Registered | 1850a Town Center Pkwy Ste 301, Reston, VA 20190-3232 | 2020-08-16 |
| 1669007696 | Robyn Emilia Engman | Dietitian, Registered | 12004 Waterside View Dr Apt 21, Reston, VA 20194-1744 | 2020-03-10 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1083992721 | Paige Allison Einstein | Dietitian, Registered | 11335 Sunset Hills Rd, Reston, VA 20190-5205 | 2011-07-29 |
| 1548825870 | Mood Balance Nutrition, LLC | Dietitian, Registered | 1760 Reston Parkway, Suite 212, Reston, VA 20190 | 2019-05-02 |
| 1659835049 | Mary Frances Hasty Hartley | Dietitian, Registered | 11800 Sunrise Valley Dr Ste 700, Reston, VA 20191-5315 | 2019-01-30 |
| 1073008256 | Jayne Vecchio | Dietitian, Registered | 11800 Sunrise Valley Dr Ste 700, Reston, VA 20191-5315 | 2018-06-29 |
| 1285148197 | Laurie Thenedy | Dietitian, Registered | 11800 Sunrise Valley Dr Ste 700, Reston, VA 20191-5315 | 2017-11-30 |
| 1700336187 | Ashley Palatiello | Dietitian, Registered | 1760 Reston Pkwy Ste 212, Reston, VA 20190-3358 | 2016-10-10 |
| Find all providers in RESTON | ||||
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| 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.