Active NPI
Kelly Kathryn McGuffin, RD
- Registered Dietitian
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 859065
- Practice address
- 3903 Fair Ridge Dr Ste 209
Fairfax, VA 22033-2944 - Phone
- (703) 424-9676
- NPI assigned
- Oct 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Registered Dietitian | 133V00000X | 859065 | VA | Primary |
Addresses
Primary practice location
3903 Fair Ridge Dr Ste 209
Fairfax, VA 22033-2944
Mailing address
24618 Salmon River PL
Aldie, VA 20105-5534
Phone (540) 908-5538
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| University of Virginia Physicians Group | Past | Accepting new patients | |
| Nova Physician Wellness Center PLLC | Past | Accepting new patients |
Locations
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065
22895 Brambleton Plz
Ste 200
Brambleton, VA 20148
Phone (703) 220-0779
3903 Fair Ridge Dr
Ste 209
Fairfax, VA 22033
Phone (571) 349-2191
8644 Sudley Rd
#220
Manassas, VA 20110
8130 Boone Blvd
Ste 110
Vienna, VA 22182
Phone (703) 362-4260
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- kelly.mcguffin.1@8042.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Family Medicine Physician
- Fairfax, VA
- NPI 1215307400
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1295820553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24618 SALMON RIVER PL",
"city": "ALDIE",
"state": "VA",
"postal_code": "201055534",
"telephone_number": "540-908-5538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3903 FAIR RIDGE DR STE 209",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332944",
"telephone_number": "703-424-9676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGUFFIN",
"first_name": "KELLY",
"middle_name": "KATHRYN",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "859065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.