Organization Active NPI

Stellar Health Nutrition, LLC

  • Community/Behavioral Health Agency
  • Bethesda, MD
National Provider Identifier
1851920714
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STELLAR HEALTH NUTRITION, LLC
Practice address
4701 Sangamore Rd Ste 100N1162
Bethesda, MD 20816-2508
Phone
(301) 304-7858
NPI assigned
Apr 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Authorized official

Name
Penelope Ann Taylor, RDN
Title
Dietitian
Phone
(202) 509-3860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4701 Sangamore Rd Ste 100N1162
Bethesda, MD 20816-2508

Mailing address

4701 Sangamore Rd
Ste 100N PMB 1162
Bethesda, MD 20816-1511
Phone (301) 304-7858

National Provider Directory

National Provider Directory

Locations

4701 Sangamore Rd
Ste 100N1162
Bethesda, MD 20816
Phone (301) 304-7858

8609 2nd Ave
Ste 505B
Silver Spring, MD 20910
Phone (202) 509-3860

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1851920714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 SANGAMORE RD",
            "address_2": "STE 100N PMB 1162",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208161511",
            "telephone_number": "301-304-7858",
            "fax_number": "833-703-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 SANGAMORE RD STE 100N1162",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162508",
            "telephone_number": "301-304-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR HEALTH NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "202-509-3860",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.