Nourish Well Integrative Nutrition, LLC

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

NOURISH WELL INTEGRATIVE NUTRITION, LLC

Practice address

481 Carlisle Dr # D1
Herndon, VA 20170-4882

Phone

(703) 468-1241

Fax

(703) 468-1241

NPI assigned

Oct 29, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Keren E Dolan, DCN, CNS, LDNNPI 1144741513

Title

Managing Member/ Clinical Director

Phone

(703) 468-1241

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keren Elizabeth Dolan, DCN, MS, CNS, LDN

  • Nutritionist
  • Herndon, VA
  • NPI 1144741513
  NPD Authorized official

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1407724404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 CARLISLE DR # D1",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704882",
            "telephone_number": "703-468-1241",
            "fax_number": "703-468-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 CARLISLE DR # D1",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704882",
            "telephone_number": "703-468-1241",
            "fax_number": "703-468-1241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Md Rt 3 S",
            "address_purpose": "LOCATION",
            "city": "Gambrills",
            "state": "MD",
            "postal_code": "210541300",
            "country_code": "US",
            "telephone_number": "703-468-1241 x800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOURISH WELL INTEGRATIVE NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "KEREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER/ CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "703-468-1241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DCN, CNS, LDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nutritionist in Herndon, VA
• Providers in Herndon, VA by specialty
• Nutritionist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.

Verify at the official NPI Registry.