Helena Ezzeldin, MS, CNS, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

2 Cardinal Park Dr. SE,
Ste. 104a
Leesburg, VA 20175

Phone

(571) 291-0693

NPI assigned

Jun 25, 2021

Reactivated

Feb 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Master of Science

Practice roles

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.

• Enlighten Nutrition Counseling and Care, LLC

  • Registered Dietitian
  • Leesburg, VA
  • NPI 1477205433

  Nutritionist

  NPD

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1801466685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11707 SUMMERCHASE CIR APT E",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201941129",
            "telephone_number": "571-291-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CARDINAL PARK DR. SE,",
            "address_2": "STE. 104A",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "20175",
            "telephone_number": "571-291-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZZELDIN",
        "first_name": "HELENA",
        "credential": "MS, CNS, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "deactivation_date": "2022-01-21",
        "reactivation_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": null,
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "A65366598",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "A65366598",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "A65366598",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Dyer Etter, RN
• Danielle Everhart, LBA
• Every Citizen Has Opportunities, Inc
• Excel Group Services
• Eye Care Center of Leesburg
• Christine Fadi
• Sara Faiq
• Fairfax Radiological Consultants PC
• Fairfax Radiological Consultants PC
• Fairfax Radiological Consultants PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.