Prin Kulwatno, MPS, RDN, LDN

Primary specialty

Gerontological Nutrition Registered DietitianTaxonomy code 133VN1101X

License

DI200001437 Issued in DC

Practice address

1924 Storm Dr
Falls Church, VA 22043-1413

Phone

(703) 336-3205

NPI assigned

Feb 27, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465
  NPD (past)
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824
  NPD (past)

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1497552442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 STORM DR",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220431413",
            "telephone_number": "703-336-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 STORM DR",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220431413",
            "telephone_number": "703-336-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULWATNO",
        "first_name": "PRIN",
        "credential": "MPS, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1101X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Gerontological",
            "state": "DC",
            "license": "DI200001437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Jeanne Kroll, LPC, CSAC
• Elise Ann Kruder, CSA, CSFA
• Robert Kuhn, MD
• Emily P Kukula, LPC
• Briana Kulisch, MD
• Nishant Kumar, D.O.
• Vineet Kumar, MD
• Sousan H Kunaish IV, DMD
• Rizwan Amin Kundi, M.D.
• Waverly Brooke Kundysek, MD

• Registered Dietitian in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.