WILDCRAFTED WELLNESS LLC (NPI# 1801428412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801428412 |
| Entity Type | Organization |
| Organization Name | WILDCRAFTED WELLNESS LLC |
| Practice Address |
5415 W Cedar Ln Ste 202a Bethesda MD 20814-1515 |
| Mailing Address |
7010 Cherry Ave Takoma Park MD 20912-6445 |
| Practice Telephone | 3015300800 |
| Mailing Telephone | 4106889009 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | KAITLIN MARIE COSTELLO (NUTRITIONIST) |
| Authorized Official Telephone | 4106889009 |
| Authorized Official Credential | CNS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers |
| Street Address |
5415 W CEDAR LN STE 202A |
| City | BETHESDA |
| State | MD |
| Zip Code | 20814-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1003436619 | Global Psychotherapy Center of Bethesda | Community/Behavioral Health | 4400 East West Highway Suite C-e, Bethesda, MD 20814 | 2020-04-23 |
| 1306465737 | Jamie Marie Lewis | Nurse Practitioner | 104 Wood Drive, Bethesda, MD 20814 | 2020-04-15 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
| 1568002814 | Paige Lewis | Counselor | 7201 Wisconsin Ave. Suite 700, Bethesda, MD 20814 | 2020-01-14 |
| 1023657400 | Brightview Bethesda Grosvenor, LLC | Alzheimer Center (Dementia Center) | 5510 Grosvenor Lane, Bethesda, MD 20814 | 2020-01-02 |
| 1972144939 | Uzma Knouss | Marriage & Family Therapist | 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 | 2019-10-01 |
| 1962057620 | Catherine Jeffries | Speech-Language Pathologist | 7921 Lynnbrook Drive, Bethesda, MD 20814 | 2019-08-08 |
| 1992368963 | Sheryl Lynne Winans | Occupational Therapist | 8001 Lynbrook Drive, Bethesda, MD 20814 | 2019-04-16 |
| Find all providers in zip 20814 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| 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. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750916581 | Lisa Jo Finstrom | Nutritionist | Village Green Apothecary, 5415 W. Cedar Lane, Bethesda, MD 20814-2081 | 2020-03-12 |
| 1407231863 | Lindsey Jayne Leh | Nutritionist | 10624 Montrose Ave, Apt. 203, Bethesda, MD 20814-4210 | 2015-07-28 |
| 1679982656 | Amanda Buxbaum | Nutritionist | 8632 Garfield St, Bethesda, MD 20817-6704 | 2014-08-04 |
| 1740881556 | Ayla Michelle Neal | Nutritionist | 4701 Sangamore Rd Ste N270, Bethesda, MD 20816-2528 | 2020-11-06 |
| 1164036760 | Roni Shlomit Enten | Nutritionist | 5225 Pooks Hill Rd, Bethesda, MD 20814-2052 | 2020-09-02 |
| 1740724384 | Sara Keough | Nutritionist | 5415 W Cedar Ln, Bethesda, MD 20814-1515 | 2016-12-16 |
| 1215470968 | Katie Morra | Nutritionist | 4701 Sangamore Rd, N270, Bethesda, MD 20816-2508 | 2016-11-29 |
| 1205223971 | Apostle Group LLC | Nutritionist | 10215 Fernwood Road, Suite 630, Bethesda, MD 20817-1184 | 2015-04-21 |
| 1346590635 | Julie Criner | Nutritionist | 4719 Hampden Ln, Suite 100, Bethesda, MD 20814-3074 | 2012-09-13 |
| 1427355411 | Naz Amini | Nutritionist | 5411 W Cedar Ln, Suite 202a, Bethesda, MD 20814-1516 | 2011-02-28 |
| Find all providers in BETHESDA | ||||
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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.