NPIMap

Organization Active NPI

Reset LLC

  • Registered Dietitian
  • Silver Spring, MD
National Provider Identifier
1124420575
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
999417 Issued in MD
Legal business name
RESET LLC
Practice address
15121 Centergate Dr
Silver Spring, MD 20905-5714
Phone
(410) 952-2613
NPI assigned
Sep 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Wintana Kiros, RD
Title
Owner
Phone
(410) 952-2613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 999417 MD Primary

Addresses

Primary practice location

15121 Centergate Dr
Silver Spring, MD 20905-5714

Mailing address

15121 Centergate Dr
Silver Spring, MD 20905-5714
Phone (410) 952-2613

Other names 1

  • Reset Lifestyle Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1124420575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15121 CENTERGATE DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209055714",
            "telephone_number": "410-952-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15121 CENTERGATE DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209055714",
            "telephone_number": "410-952-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "KIROS",
        "authorized_official_first_name": "WINTANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-952-2613",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "999417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reset Lifestyle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.