MD NUTRITION AND LIFESTYLE LLC NPI 1972002301

NPI Details

MD NUTRITION AND LIFESTYLE, LLC is a dietitian registered in Kingstowne, VA. 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. MD NUTRITION AND LIFESTYLE, LLC NPI is 1972002301. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5901 KINGSTOWNE VILLAGE PKWY
SUITE 300
KINGSTOWNE, VA
ZIP 22315
Phone: (860) 796-1930

The provider's authorized official is Mara Michele Davis .
The authorized official title is Clinical Dietitan and has the following contact phone number (860) 796-1930.

The enumeration date for this NPI number is 2/12/2018 and was last updated on 2/12/2018.

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: