Ggkidneydietitian LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

GGKIDNEYDIETITIAN LLC

Practice address

44330 Mercure Cir Ste 271
Dulles, VA 20166-3802

Phone

(703) 263-8040

Fax

(703) 263-8040

NPI assigned

Jan 14, 2026

Last updated

Jul 29, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Girija Vijaykumar, RDNPI 1114731825

Title

Owner

Phone

(571) 293-1087

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

Ggkidneydietitian LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ggkidneydietitian LLC

  • Registered Dietitian
  • Dulles, VA
  • NPI 1780530857
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Girija Vijaykumar, RD

  • Registered Dietitian
  • Dulles, VA
  • NPI 1114731825

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1768348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1699633024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40802 MARTINA CT",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201054138",
            "telephone_number": "703-727-7400",
            "fax_number": "703-727-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44330 MERCURE CIR STE 271",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201663802",
            "telephone_number": "703-263-8040",
            "fax_number": "703-263-8040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19490 Sandridge Way Ste 120",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201763469",
            "country_code": "US",
            "telephone_number": "571-293-1087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GGKIDNEYDIETITIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-14",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "VIJAYKUMAR",
        "authorized_official_first_name": "GIRIJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-293-1087",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Dulles, VA
• Providers in Dulles, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.