Organization Active NPI

Wellness With Rachita

  • Nutritionist
  • Lake Ridge, VA
National Provider Identifier
1508480419
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
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

Updated by the provider on Aug 16, 2023

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)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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

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.

Verify at the official NPI Registry.