Individual provider Active NPI

Judy Ellen Caplan, R,D

  • Registered Dietitian
  • Reston, VA
National Provider Identifier
1063628683
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
948130 Issued in VA
Practice address
11440 Commerce Park Dr
Suite Ll1A
Reston, VA 20191-1555
Phone
(703) 860-2922
NPI assigned
May 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 948130 VA Primary

Addresses

Primary practice location

11440 Commerce Park Dr
Suite Ll1A
Reston, VA 20191-1555

Mailing address

2131 Twin Mill LN
Oakton, VA 22124-1022
Phone (703) 758-2399

Other identifiers 1

IdentifierTypeStateIssuer
948130OtherVACOM. ON DIETETIC REGISTRA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
948130VAMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063628683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 TWIN MILL LN",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241022",
            "telephone_number": "703-758-2399",
            "fax_number": "703-648-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11440 COMMERCE PARK DR",
            "address_2": "SUITE LL1A",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911555",
            "telephone_number": "703-860-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPLAN",
        "first_name": "JUDY",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "R,D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "948130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COM. ON DIETETIC REGISTRA",
            "identifier": "948130",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.