Individual provider Active NPI

Tehila Traub, RDN

  • Registered Dietitian
  • Baltimore, MD
National Provider Identifier
1750095006
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX6458 Issued in MD
Practice address
1777 Reisterstown Rd Ste 22
Baltimore, MD 21208-1388
Phone
(410) 415-3875
NPI assigned
Jan 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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 DX6458 MD Primary

Addresses

Primary practice location

1777 Reisterstown Rd Ste 22
Baltimore, MD 21208-1388

Mailing address

1777 Reisterstown Road
Suite 22, PO Box 350
Baltimore, MD 21203-0305
Phone (410) 415-3875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250616000986 MD Practitioner - Registered Dietitian Or Nutrition Professional 1759892953 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DX6458MDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Jun 9, 2025 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients
Medstar Franklin Square Physicians LLC PastSince Jul 22, 2025 Accepting new patients
The Renfrew Center Dietitian, Registered PastSince Jan 1, 2023 Accepting new patients

Locations

3007 Tilden St NW
Ste 5N
Washington, DC 20008

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

9105 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 574-1330

9105 Franklin Square Dr
Ste 305
Rosedale, MD 21237
Phone (443) 777-1158

Organizations & group practices 5

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": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1750095006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 REISTERSTOWN ROAD",
            "address_2": "SUITE 22, PO BOX 350",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212030305",
            "telephone_number": "410-415-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 REISTERSTOWN RD STE 22",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212081388",
            "telephone_number": "410-415-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUB",
        "first_name": "TEHILA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX6458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.