Mood Balance Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MOOD BALANCE NUTRITION, LLC

Practice address

1760 Reston Parkway
Suite 212
Reston, VA 20190

Phone

(703) 852-9675

Fax

(703) 579-1557

NPI assigned

May 2, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Thompson Toland, RD

Title

Co-Owner/Dietitian

Phone

(703) 852-9675

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ashley Palatiello, RD

  • Registered Dietitian
  • Reston, VA
  • NPI 1700336187

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1548825870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 RESTON PARKWAY",
            "address_2": "SUITE 212",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "20190",
            "telephone_number": "703-852-9675",
            "fax_number": "703-579-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 RESTON PARKWAY",
            "address_2": "SUITE 212",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "20190",
            "telephone_number": "703-852-9675",
            "fax_number": "703-579-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOOD BALANCE NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "TOLAND",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "THOMPSON",
        "authorized_official_title_or_position": "CO-OWNER/DIETITIAN",
        "authorized_official_telephone_number": "703-852-9675",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Moldenhauer, AU.D.
• Milleysha Molina Otero, DPT
• Victoria Molinaro Laguardia, MS CCC-SLP
• Madeline V Monan, MS, CCC-SLP
• Miles Monroe, PA-C
• William Randolph Mook, M.D.
• Ji Hoon Moon
• Hannah Moore
• Kristen Moore
• Adi Moorman, LPC

• Registered Dietitian in Reston, VA
• Providers in Reston, 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 2, 2019; 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.