Active NPI
Thrive Nutrition
- Registered Dietitian
- Gaithersburg, MD
National Provider Identifier
1104395953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- THRIVE NUTRITION
- Practice address
- 16567 Sioux LN
Gaithersburg, MD 20878-2048 - Phone
- (240) 780-8135
- NPI assigned
- Nov 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Astrida Awa Teneng, CDCES, RD
- Title
- Registered Dietitian
- Phone
- (240) 780-8135
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary | ||
| Pediatric Nutrition Registered Dietitian | 133VN1004X | |||
| Metabolic Nutrition Registered Dietitian | 133VN1006X |
Addresses
Primary practice location
16567 Sioux LN
Gaithersburg, MD 20878-2048
Mailing address
16567 Sioux LN
Gaithersburg, MD 20878-2048
Phone (502) 303-7705
Other practice location 1
3804 Cannon Point Dr
Chesapeake, VA 23321-5703
Phone (502) 303-7705
Other practice location 2
9711 Washingtonian Blvd Ste 550
Gaithersburg, MD 20878-5789
Phone (502) 303-7705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12585463 | Other | CAQH |
Other names 2
- Thrive Nutrition
- Diathrive Nutrition
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741478400000",
"number": "1104395953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16567 SIOUX LN",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208782048",
"telephone_number": "502-303-7705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16567 SIOUX LN",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208782048",
"telephone_number": "240-780-8135"
}
],
"practiceLocations": [
{
"address_1": "3804 Cannon Point Dr",
"address_purpose": "LOCATION",
"city": "Chesapeake",
"state": "VA",
"postal_code": "233215703",
"country_code": "US",
"telephone_number": "502-303-7705",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9711 Washingtonian Blvd Ste 550",
"address_purpose": "LOCATION",
"city": "Gaithersburg",
"state": "MD",
"postal_code": "208785789",
"country_code": "US",
"telephone_number": "502-303-7705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THRIVE NUTRITION",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-21",
"last_updated": "2025-03-09",
"certification_date": "2025-03-09",
"status": "A",
"authorized_official_last_name": "TENENG",
"authorized_official_first_name": "ASTRIDA",
"authorized_official_middle_name": "AWA",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "240-780-8135",
"authorized_official_credential": "CDCES, RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
},
{
"code": "133VN1004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12585463",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Thrive Nutrition",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Diathrive Nutrition",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2025; 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.