Jane L Mahan-Wiegand, M.S., R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1900 Campus Commons Drive
Suite 100
Reston, VA 20191

Phone

(703) 606-5233

NPI assigned

Dec 2, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jane Mahan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1073910345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13527 OLD DAIRY ROAD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "20171",
            "telephone_number": "703-606-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CAMPUS COMMONS DRIVE",
            "address_2": "SUITE 100",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "20191",
            "telephone_number": "703-606-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAN-WIEGAND",
        "first_name": "JANE",
        "middle_name": "L",
        "credential": "M.S., R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-02",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "MAHAN",
            "credential": "M.S., R.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Seyedeh Maryam Madani
• Mark P Madden, MD
• Jennifer Michelle Maddox-Byrd, LCSW
• Joseph D Madison, D.M.D
• Basil Maghak, M.D.
• Bharati Mahindrakar, MD
• Majid Dastgir, DMD, PLLC
• Connor Maldonado
• Nidhi K Malik, MD
• Norma R Maltez

• Registered Dietitian in Reston, VA
• Providers in Reston, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.