Stephanie Mull, MS, RD, CSSD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

875320 Issued in VA

Practice address

44983 Knoll SQ
Enterprise Hall, Room B25
Ashburn, VA 20147-2692

Phone

(571) 553-0539

NPI assigned

Jul 5, 2006

Last updated

Jul 27, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Dacko Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nova Medical and Urgent Care Center, Inc.

  dba Nova Medical Group, Nova Urgent Care

  • Family Medicine Physician
  • Ashburn, VA
  • NPI 1588683742

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1811928591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44983 KNOLL SQ",
            "address_2": "ENTERPRISE HALL, ROOM B25",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201472692",
            "telephone_number": "571-553-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44983 KNOLL SQ",
            "address_2": "ENTERPRISE HALL, ROOM B25",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201472692",
            "telephone_number": "571-553-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULL",
        "first_name": "STEPHANIE",
        "credential": "MS, RD, CSSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "875320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "DACKO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Moxie G2 Inc (Interim HealthCare of Ashburn)
• Taylor Elizabeth Mras, RDN
• MSK.DMD, PLLC (bloomindental.)
• Nancy Burch Muir, M.ED., R.D.
• Anthony Muldoon
• Liam Mullen
• Anne-Marie Mullikin
• Heather Mulvaney, RN, CDCES
• Rebeca Muniz
• Octavian Cornel Munteanu

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.