Keya Health

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KEYA HEALTH

Practice address

1801 Robert Fulton Dr Ste 480
Reston, VA 20191-5481

Phone

(703) 261-7000

Fax

(708) 860-1040

NPI assigned

Jun 11, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Seble Wongel DejeneNPI 1245611664

Title

President

Phone

(703) 261-7001

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Seble Wongel Dejene

  • Nutrition Education Nutritionist
  • Reston, VA
  • NPI 1245611664
  NPD (past) Authorized official

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1083095491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 ROBERT FULTON DR STE 480",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201915481",
            "telephone_number": "703-261-7000",
            "fax_number": "708-860-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 ROBERT FULTON DR STE 480",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201915481",
            "telephone_number": "703-261-7000",
            "fax_number": "708-860-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYA HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "DEJENE",
        "authorized_official_first_name": "SEBLE",
        "authorized_official_middle_name": "WONGEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-261-7001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Kenney, RNFA
• Amanda Grace Kephart
• Aneta Kern, PH.D.
• April Rose Kern, D,M.D.
• Ellen Rosemary Kessler, M.D.
• Keyur Shah, M.D., P.C.
• Huma Khalil, MD
• Hira Khaliq, MD
• Darshan Khalsa, L.AC.
• Satsatnam K. Khalsa, MS, CSAC, LSATP

• Clinic/Center in Reston, VA
• Providers in Reston, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.