Active NPI
Emily Katherine McDonough, RDN
- Registered Dietitian
- Herndon, VA
National Provider Identifier
1417403239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86032855
- Practice address
- 1031 Sterling Rd
Suite 203
Herndon, VA 20170-3865 - Phone
- (703) 466-5150
- Fax
- (703) 649-3557
- NPI assigned
- Aug 31, 2016
- 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 | 86032855 | IL | Primary |
Addresses
Primary practice location
1031 Sterling Rd
Suite 203
Herndon, VA 20170-3865
Mailing address
1031 Sterling Rd
Suite 203
Herndon, VA 20170-3865
Phone (703) 466-5150
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 |
|---|---|---|---|
| 86032855 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472601600000",
"number": "1417403239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 STERLING RD",
"address_2": "SUITE 203",
"city": "HERNDON",
"state": "VA",
"postal_code": "201703865",
"telephone_number": "703-466-5150",
"fax_number": "703-649-3557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 STERLING RD",
"address_2": "SUITE 203",
"city": "HERNDON",
"state": "VA",
"postal_code": "201703865",
"telephone_number": "703-466-5150",
"fax_number": "703-649-3557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONOUGH",
"first_name": "EMILY",
"middle_name": "KATHERINE",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2016-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "86032855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Herndon, VA
- Mazin Alayssami, DMD & Associates PC
- Katherine Ann McAlee, BCABA, LABA
- Aliya McCants
- Lindsay M McCleane, SLP, CCC
- Maureen Harris McCracken, APRN, BC
- Lezley Patricia McIlveen, B.D.S.,M.S.
- Anne Miniter McKay, NCC, LPC
- McLean Psychiatry & Wellness LLC
- McLean Psychiatry & Wellness LLC
- Ashly McLean, PMHNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.