Individual provider Active NPI

Kelli Michele Metzger, MS, RD, LDN, CDE

  • Registered Dietitian
  • Washington, DC
National Provider Identifier
1891885992
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
D1100000590 Issued in DC
Practice address
2150 Pennsylvania Ave, NW, Suite 4-417
GW Heart and Vascular Institute
Washington, DC 20037
Phone
(202) 741-2579
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DO2218 MD
Registered Dietitian 133V00000X D1100000590 DC Primary

Addresses

Primary practice location

2150 Pennsylvania Ave, NW, Suite 4-417
GW Heart and Vascular Institute
Washington, DC 20037

Mailing address

5911 Lebanon LN
Elkridge, MD 21075-5142
Phone (919) 986-2508

Other practice location 1

8955 Edmonston Rd Ste E
Greenbelt, MD 20770-4034
Phone (919) 986-2508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130501000459 DC Practitioner - Registered Dietitian Or Nutrition Professional 4082851563 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Faculty Associates, IncGroup PAC ID 4082528898, 676 clinicians

Practice addresses (Care Compare)

2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone (202) 741-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D1100000590DCMDRegistered Dietitian
DO2218MDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Trusted and Innovative Healthcare LLC Dietitian, Registered CurrentSince Nov 1, 2021 Accepting new patients
Medical Faculty Associates, Inc CurrentSince Mar 26, 2013 Accepting new patients

Locations

2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222

2021 K St NW
Ste 408
Washington, DC 20006
Phone (202) 223-1024

2150 Pennsylvania Ave NW
Ste 4417
Washington, DC 20037
Phone (202) 741-2222

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

8751 Greenbelt Rd
Ste 102
Greenbelt, MD 20770
Phone (301) 263-3845

8955 Edmonston Rd
Ste E
Greenbelt, MD 20770
Phone (301) 295-5165

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1891885992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 LEBANON LN",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755142",
            "telephone_number": "919-986-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PENNSYLVANIA AVE, NW, SUITE 4-417",
            "address_2": "GW HEART AND VASCULAR INSTITUTE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20037",
            "telephone_number": "202-741-2579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8955 Edmonston Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207704034",
            "country_code": "US",
            "telephone_number": "919-986-2508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METZGER",
        "first_name": "KELLI",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "MS, RD, LDN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DO2218",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "DC",
            "license": "D1100000590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.