Dr K Nutrition

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

DR K NUTRITION

Practice address

8518 Idylwood Rd
Vienna, VA 22182-5041

Phone

(703) 623-8068

NPI assigned

Oct 19, 2017

Organization subpart

No

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

Authorized official

Name

Mona KeshtkaranNPI 1093239832

Title

CNS

Phone

(703) 623-8068

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

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

• Mona Keshtkaran

  • Nutritionist
  • Vienna, VA
  • NPI 1093239832

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1083125876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8518 IDYLWOOD RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8518 IDYLWOOD RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825041",
            "telephone_number": "703-623-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR K NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "KESHTKARAN",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "CNS",
        "authorized_official_telephone_number": "703-623-8068"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula M Donovan, MA., MSW, LCSW
• Mike Doon
• Anaika Dorvilien, CRNP, FNP-C
• Puran Douglass, PSYD
• Lindsey Taylor Doyle, M.A., LPC
• Dr Kallas Dental Center PLC
• Dr N Hines & T Fahy
• Dr Rader Advanced PT LLC
• Dr. Brandon R. Lemuel DC,PC
• Dr. Daniel D. Rooney, LTD.

• Nutritionist in Vienna, VA
• Providers in Vienna, VA by specialty
• Nutritionist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.