Reagen Amand, MS, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86403803 Issued in VA

Practice address

1897 Preston White Dr Ste 300
Reston, VA 20191-5479

Phone

(703) 466-5150

NPI assigned

Dec 10, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Prosperity Eating Disorder and Wellness

  • Adolescent and Children Mental Health Clinic/Center
  • Reston, VA
  • NPI 1043613474
  NPD

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1871309153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1897 PRESTON WHITE DR STE 300",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201915479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1897 PRESTON WHITE DR STE 300",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201915479",
            "telephone_number": "703-466-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAND",
        "first_name": "REAGEN",
        "credential": "MS, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "86403803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmed Altaweel
• Rosemary M Altemus, MD
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• Noor Ahmed Alwani, PHD, LCP
• Sura Alzamani
• Amene Amanpour, CRNA
• Asmita Ambardekar, PT
• Amen Clinics, Inc DC
• American Arthritis & Rheumatology Associates DC PC
• American Arthritis & Rheumatology Associates VA LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.