Carmen Kresha, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

12330 Pinecrest Rd Ste 125
Reston, VA 20191-1655

Phone

(312) 952-6012

Fax

(844) 246-8462

NPI assigned

Oct 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1467705079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12704 FANTASIA DR",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201702941",
            "telephone_number": "312-952-6012",
            "fax_number": "844-246-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 PINECREST RD STE 125",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911655",
            "telephone_number": "312-952-6012",
            "fax_number": "844-246-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRESHA",
        "first_name": "CARMEN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1932743192",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madhubala A Kothari, MD
• Nancy Paula Krall, D.P.T.
• Anna Agnieszka Kraszewska, MD
• Alexander Krause
• Alexandra Krens, LPC-R
• Matthew Ryan Krupa
• David M Kruse, MD
• Karen Ku, M.D.
• Priya Kucheria
• Kelley Kuchinov

• Registered Dietitian in Reston, VA
• Providers in Reston, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.