Active NPI
Asma Benomran, RDN
- Registered Dietitian
- Herndon, VA
National Provider Identifier
1275262255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86304012
- Practice address
- 1288 Browns Mill CT
Herndon, VA 20170-2000 - Phone
- (571) 397-6651
- NPI assigned
- Jun 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 86304012 | VA | |
| Registered Dietitian | 133V00000X | 86304012 | VA | Primary |
| Nutritionist | 133N00000X | CA |
Addresses
Primary practice location
1288 Browns Mill CT
Herndon, VA 20170-2000
Mailing address
1288 Brown CT
Herndon, VA 20170-2000
Phone (571) 397-6551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86304012 | VA | MD | Pediatric Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1275262255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1288 BROWN CT",
"city": "HERNDON",
"state": "VA",
"postal_code": "201702000",
"telephone_number": "571-397-6551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1288 BROWNS MILL CT",
"city": "HERNDON",
"state": "VA",
"postal_code": "201702000",
"telephone_number": "571-397-6651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENOMRAN",
"first_name": "ASMA",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-06",
"last_updated": "2025-03-03",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "VA",
"license": "86304012",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "86304012",
"primary": true
},
{
"code": "133N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nutritionist",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.