Elaine Marie Kohlhepp, R.D., C.S.R.

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

Practice address

12418 Willow Falls Dr
Herndon, VA 20170-2086

Phone

(703) 421-5279

NPI assigned

Jul 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1184457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184457600000",
    "number": "1619176161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12418 WILLOW FALLS DR",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201702086",
            "telephone_number": "703-421-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12418 WILLOW FALLS DR",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201702086",
            "telephone_number": "703-421-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLHEPP",
        "first_name": "ELAINE",
        "middle_name": "MARIE",
        "credential": "R.D., C.S.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-15",
        "last_updated": "2007-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth M Klug, RN MS CPNP
• KMD Medical Supplies Inc
• KMD Medical Supplies Inc
• Kylie Knight, PT, DPT
• Robin Knoblach, PH.D.
• Kristin Ann Kole
• Megan Kolwicz, RDN
• Tiangue Kone
• Nirupama Kopparti, MD
• Trevor Kosa

• Renal Nutrition Registered Dietitian in Herndon, VA
• Providers in Herndon, VA by specialty
• Renal Nutrition Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2007; 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.