Potomac Wellness

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

708956

Legal business name

POTOMAC WELLNESS

Practice address

46494 Primula CT
Sterling, VA 20165-7248

Phone

(571) 348-4451

NPI assigned

Mar 13, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Melinda Kay Wieland, RD, RN, CDE

Title

President

Phone

(571) 348-4451

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1710370838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46494 PRIMULA CT",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657248",
            "telephone_number": "571-348-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46494 PRIMULA CT",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657248",
            "telephone_number": "571-348-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "WIELAND",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-348-4451",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD, RN, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "708956",
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "VA",
            "license": "0001149354",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichelle Traxler Porto, ATC
• Rosetta R Posey
• Potomac Falls Orthodontics
• Potomac Family and Sports Chiropractic Center Inc
• Potomac Speech, LLC
• Potomacaba PLLC
• Mojgan Pourakbar
• Rachel Ann Powell
• Praveena Petluri DMD PLLC
• Premier Healthcare Firm

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.