Kssential Nutrition LLC

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

KSSENTIAL NUTRITION LLC

Practice address

10665 Stanhaven PL Ste 300a
White Plains, MD 20695-3069

Phone

(301) 848-6020

Fax

(301) 936-1883

NPI assigned

Jul 7, 2021

Organization subpart

No

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

Authorized official

Name

Kanwal Mansur, MS,CNS,LDN,MBBSNPI 1982273215

Title

Clinical Nutritionist

Phone

(240) 460-8290

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kanwal Mansur, MS, CNS, LDN, MBBS

  • Nutritionist
  • Prince Frederick, MD
  • NPI 1982273215
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1528639978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10665 STANHAVEN PL STE 300A",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953069",
            "telephone_number": "301-848-6020",
            "fax_number": "301-936-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10665 STANHAVEN PL STE 300A",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953069",
            "telephone_number": "301-848-6020",
            "fax_number": "301-936-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSSENTIAL NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "MANSUR",
        "authorized_official_first_name": "KANWAL",
        "authorized_official_title_or_position": "CLINICAL NUTRITIONIST",
        "authorized_official_telephone_number": "240-460-8290",
        "authorized_official_credential": "MS,CNS,LDN,MBBS"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Kneussle, DPT
• Johnson O Kolawole
• Nicole Theresa Konschnik
• Tammy Merriman Kost, RN
• Edith Kratzer, RN
• Adenike Kupolati, RPH
• Meghan A Lainoff, PA-C
• Kimberly Destefano Larsen, MD
• Shelby Lawanson
• Eileen Leahy, NP

• Nutritionist in White Plains, MD
• Providers in White Plains, MD by specialty
• Nutritionist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.