| Dietetic Consultants Of Northern Virginia, Llc | |
|
2121 Eisenhower Ave, Suite 200, Alexandria, VA 22314-4698 | |
| (703) 519-0901 | |
| (703) 519-0902 |
| Full Name | Dietetic Consultants Of Northern Virginia, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 2121 Eisenhower Ave, Alexandria, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831379882 | NPI | - | NPPES |
| G02785 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2004009119 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dietetic Consultants Of Northern Virginia, Llc 5412 Castle Bar Ln, Alexandria, VA 22315-5519 Ph: (703) 879-5160 | Dietetic Consultants Of Northern Virginia, Llc 2121 Eisenhower Ave, Suite 200, Alexandria, VA 22314-4698 Ph: (703) 519-0901 |
Ellen Ilse Sviland, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3822 Florence Dr Apt 2, Alexandria, VA 22305 Phone: 540-295-0180 | |
Jennifer Lyons, Dietitian Medicare: Medicare Enrolled Practice Location: 5718 Clapham Rd, Alexandria, VA 22315 Phone: 703-924-0430 | |
Adrian E Hernandez, MS, RDN, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 2500 N Van Dorn St Apt 1223, Alexandria, VA 22302 Phone: 443-404-8256 | |
Rae Nutrition Dietitian Medicare: Medicare Enrolled Practice Location: 5680 King Centre Dr Ste 600, Alexandria, VA 22315 Phone: 703-608-5808 Fax: 703-263-8650 | |
Melanie C Haake, MPH, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3101 Park Center Dr, Alexandria, VA 22302 Phone: 703-305-2591 | |
Maria Kim, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 209 Madison St, Alexandria, VA 22314 Phone: 512-596-1705 | |
Bonita Lillie, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2121 Eisenhower Ave, Suite 200, Alexandria, VA 22314 Phone: 703-519-0901 Fax: 703-519-0902 |