Individual provider Active NPI

Astrida Awa Teneng, MDA, RD, CDCES, LD,

  • Registered Dietitian
  • Gaithersburg, MD
National Provider Identifier
1528319738
Registry record updated Mar 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD-0837 Issued in NM
Practice address
16567 Sioux LN
Gaithersburg, MD 20878-2048
Phone
(240) 780-8135
NPI assigned
Sep 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nutrition Registered Dietitian 133VN1004X LD-0837 NM
Metabolic Nutrition Registered Dietitian 133VN1006X
Registered Dietitian 133V00000X LD-0837 NM Primary

Addresses

Primary practice location

16567 Sioux LN
Gaithersburg, MD 20878-2048

Mailing address

16567 Sioux LN
Gaithersburg, MD 20878-2048
Phone (502) 303-7705

Other practice location 1

9711 Washingtonian Blvd Ste 550
Gaithersburg, MD 20878-5789
Phone (757) 354-3029

Other names 1

  • Astrida Awa Fengwi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250218002172 DC Practitioner - Registered Dietitian Or Nutrition Professional 4486882016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16567 Sioux LN
Gaithersburg, MD 20878-2048
Phone 50230377050000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Medical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741478400000",
    "number": "1528319738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16567 SIOUX LN",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782048",
            "telephone_number": "502-303-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16567 SIOUX LN",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782048",
            "telephone_number": "240-780-8135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9711 Washingtonian Blvd Ste 550",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208785789",
            "country_code": "US",
            "telephone_number": "757-354-3029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TENENG",
        "first_name": "ASTRIDA",
        "middle_name": "AWA",
        "name_prefix": "Mrs.",
        "credential": "MDA, RD, CDCES, LD,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2025-03-09",
        "certification_date": "2025-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "NM",
            "license": "LD-0837",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NM",
            "license": "LD-0837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASTRIDA",
            "last_name": "FENGWI",
            "middle_name": "AWA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.