Your Diabetes Coach, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

YOUR DIABETES COACH, LLC

Practice address

13800 Coppermine Rd FL 1
Herndon, VA 20171-6163

Phone

(571) 244-9772

NPI assigned

Sep 11, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Kavitha Felix-Johnson, RD, CDENPI 1316135403

Title

Owner

Phone

(571) 244-9772

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kavitha Felix - Johnson, RD, CDE

  • Registered Dietitian
  • Vienna, VA
  • NPI 1316135403

  DC, Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1780167247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42430 BENFOLD SQ",
            "city": "BRAMBLETON",
            "state": "VA",
            "postal_code": "201487606",
            "telephone_number": "571-244-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 COPPERMINE RD FL 1",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201716163",
            "telephone_number": "571-244-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR DIABETES COACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "FELIX-JOHNSON",
        "authorized_official_first_name": "KAVITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-244-9772",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yelamanchi Dental PLC
• Charlotte Ann Victoria Yelvington
• Ji Hyung Yoo, DC
• Kirstyn Young
• Scott Taylor Young, D.C.
• Luoxi Yu
• Yu Yu, L.AC.
• Taraneh Zand, D.D.S.
• Michelle Zarnegar, D.P.T.
• Armen Edward Zarookian, D.M.D.

• All providers in Herndon, VA
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.