THRIVE NUTRITION NPI 1104395953

NPI Information

  • NPI: 1104395953
  • Provider Name: THRIVE NUTRITION
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Organization
  • :
  • Address: 16567 SIOUX LN
    GAITHERSBURG, MD
    ZIP 20878
  • Phone: (240) 780-8135

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NPI Details

THRIVE NUTRITION is a dietitian registered in Gaithersburg, MD. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. THRIVE NUTRITION NPI is 1104395953. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

16567 SIOUX LN
GAITHERSBURG, MD
ZIP 20878-048
Phone: (240) 780-8135

The provider's authorized official is Astrida Awa Teneng .
The authorized official title is Registered Dietitian and has the following contact phone number (240) 780-8135.

The enumeration date for this NPI number is 11/21/2018 and was last updated on 3/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, RegisteredYes
2133VN1004XDietitian, RegisteredNutrition, PediatricNo
3133VN1006XDietitian, RegisteredNutrition, MetabolicNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
112585463OTHERCAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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