Active NPI
Kathleen Rodgers, M.A.,R.D., C.D.E.
- Metabolic Nutrition Registered Dietitian
- Fairfax, VA
National Provider Identifier
1346526191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- Practice address
- 3022 Williams Dr
Suite 300
Fairfax, VA 22031-4600 - Phone
- (703) 573-9800
- Fax
- (703) 573-2959
- NPI assigned
- Oct 25, 2011
- 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 | |||
| Metabolic Nutrition Registered Dietitian | 133VN1006X | Primary |
Addresses
Primary practice location
3022 Williams Dr
Suite 300
Fairfax, VA 22031-4600
Mailing address
6824 Wild Rose CT
Springfield, VA 22152-3124
Phone (703) 866-7864
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)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Physician Partners, Inc. - Specialists | 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.
-
- Orthopaedic Surgery Physician
- Leesburg, VA
- NPI 1811204050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1346526191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6824 WILD ROSE CT",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221523124",
"telephone_number": "703-866-7864",
"fax_number": "703-866-1382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3022 WILLIAMS DR",
"address_2": "SUITE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314600",
"telephone_number": "703-573-9800",
"fax_number": "703-573-2959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "KATHLEEN",
"name_prefix": "Ms.",
"credential": "M.A.,R.D., C.D.E.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-25",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": null,
"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 Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.