Active NPI
Wellness With Rachita
- Nutritionist
- Lake Ridge, VA
National Provider Identifier
1508480419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Legal business name
- WELLNESS WITH RACHITA
- Practice address
- 4737 Grand Masters Way
Lake Ridge, VA 22192-5551 - Phone
- (703) 855-5506
- NPI assigned
- Jun 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rachita Bhasin Kenny, MS, CNS, CPT
- Title
- Certified Nutritionist
- Phone
- (703) 855-5506
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary |
Addresses
Primary practice location
4737 Grand Masters Way
Lake Ridge, VA 22192-5551
Mailing address
4737 Grand Masters Way
Lake Ridge, VA 22192-5551
Phone (703) 855-5506
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692144000000",
"number": "1508480419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4737 GRAND MASTERS WAY",
"city": "LAKE RIDGE",
"state": "VA",
"postal_code": "221925551",
"telephone_number": "703-855-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4737 GRAND MASTERS WAY",
"city": "LAKE RIDGE",
"state": "VA",
"postal_code": "221925551",
"telephone_number": "703-855-5506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS WITH RACHITA",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-05",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A",
"authorized_official_last_name": "KENNY",
"authorized_official_first_name": "RACHITA",
"authorized_official_middle_name": "BHASIN",
"authorized_official_title_or_position": "CERTIFIED NUTRITIONIST",
"authorized_official_telephone_number": "703-855-5506",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS, CNS, CPT"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Ridge, VA
- The Physician and Midwife Collaborative Practice
- Ultimate Comfort Care, LLC
- Jorge Salvador Vazquez M.D., M.D.
- Thaovi Vo
- Elizabeth Mbene Wainaina, FNP
- Westminster Presbyterian Retirement Community, Inc.
- Sara Woodby-Brown, N.P.
- R Alexandria Wright, PA-C
- Stefan Kristoph Young, O.D.
- Norma Lizette Zapata-de Perez, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.