Active NPI
Kavitha Felix - Johnson, RD, CDE
- Registered Dietitian
- Vienna, VA
National Provider Identifier
1316135403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 301 Maple Ave W
Suite 120
Vienna, VA 22180-4301 - Phone
- (703) 938-8885
- Fax
- (703) 242-2437
- NPI assigned
- Oct 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
301 Maple Ave W
Suite 120
Vienna, VA 22180-4301
Mailing address
301 Maple Ave W
Suite 120
Vienna, VA 22180-4301
Phone (703) 938-8885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150109000326 | DC | Practitioner - Registered Dietitian Or Nutrition Professional | 5991028482 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
13800 Coppermine Rd
FL 1
Herndon, VA 20171-6163
Phone (571) 223-6040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Diabetes Coach, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
13800 Coppermine Rd
Fl 1
Herndon, VA 20171
Phone (202) 935-1033
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": "1192406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1316135403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 MAPLE AVE W",
"address_2": "SUITE 120",
"city": "VIENNA",
"state": "VA",
"postal_code": "221804301",
"telephone_number": "703-938-8885",
"fax_number": "703-242-2437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MAPLE AVE W",
"address_2": "SUITE 120",
"city": "VIENNA",
"state": "VA",
"postal_code": "221804301",
"telephone_number": "703-938-8885",
"fax_number": "703-242-2437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELIX - JOHNSON",
"first_name": "KAVITHA",
"name_prefix": "Mrs.",
"credential": "RD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-15",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.