Individual provider Active NPI

Ashley Palatiello, RD

  • Registered Dietitian
  • Reston, VA
National Provider Identifier
1700336187
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
1760 Reston Pkwy Ste 212
Reston, VA 20190-3358
Phone
(703) 852-9675
NPI assigned
Oct 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

1760 Reston Pkwy Ste 212
Reston, VA 20190-3358

Mailing address

1760 Reston Pkwy Ste 212
Reston, VA 20190-3358
Phone (703) 852-9675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 12, 2019 through Sep 12, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mood Balance Nutrition, LLC Dietitian, Registered Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ashley.palatiello.1@16203.direct.athenahealth.com

Organizations & group practices 1

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": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1700336187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 RESTON PKWY STE 212",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903358",
            "telephone_number": "703-852-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 RESTON PKWY STE 212",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903358",
            "telephone_number": "703-852-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALATIELLO",
        "first_name": "ASHLEY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.