| Pearl Nutrition | |
|
12330 Pinecrest Rd Ste 125, Reston, VA 20191-1655 | |
| (312) 952-6012 | |
| (844) 246-8462 |
| Full Name | Pearl Nutrition |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 12330 Pinecrest Rd Ste 125, Reston, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932743192 | NPI | - | NPPES |
| 1467705079 | Other | VA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | (* (Not Available)) | Secondary |
| Provider Name | Carmen J Kresha |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467705079 PECOS PAC ID: 4385865831 Enrollment ID: I20141027000159 |
| Mailing Address | Practice Location Address |
|---|---|
| Pearl Nutrition 12704 Fantasia Dr, Herndon, VA 20170-2941 Ph: (312) 952-6012 | Pearl Nutrition 12330 Pinecrest Rd Ste 125, Reston, VA 20191-1655 Ph: (312) 952-6012 |
Ms. Judy Ellen Caplan, R,D Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11440 Commerce Park Dr, Suite Ll1a, Reston, VA 20191 Phone: 703-860-2922 | |
Jayne Vecchio, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11800 Sunrise Valley Dr Ste 700, Reston, VA 20191 Phone: 703-834-1473 | |
Jane L Mahan-wiegand, M.S., R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 Phone: 703-606-5233 | |
Paige Allison Einstein, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11335 Sunset Hills Rd, Reston, VA 20190 Phone: 703-677-4032 Fax: 703-444-4308 | |
Shaina Duvall, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11696 Stockbridge Ln, Reston, VA 20194 Phone: 571-749-5548 | |
Laurie Thenedy, Dietitian Medicare: Medicare Enrolled Practice Location: 11800 Sunrise Valley Dr Ste 700, Reston, VA 20191 Phone: 703-834-1473 Fax: 703-318-7463 | |
Gabrielle Elise Parisi, MS, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 1307 Gatesmeadow Way, Reston, VA 20194 Phone: 703-774-6340 |