| Your Diabetes Coach, Llc | |
|
13800 Coppermine Rd Fl 1, Herndon, VA 20171-6163 | |
| (571) 244-9772 | |
| Not Available |
| Full Name | Your Diabetes Coach, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 13800 Coppermine Rd Fl 1, Herndon, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780167247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Kavitha Felix Johnson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316135403 PECOS PAC ID: 5991028482 Enrollment ID: I20150109000326 |
| Mailing Address | Practice Location Address |
|---|---|
| Your Diabetes Coach, Llc 42430 Benfold Sq, Brambleton, VA 20148-7606 Ph: (571) 244-9772 | Your Diabetes Coach, Llc 13800 Coppermine Rd Fl 1, Herndon, VA 20171-6163 Ph: (571) 244-9772 |
Erika Whitman, RD, CSSD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 455 Springpark Pl, Herndon, VA 20170 Phone: 703-787-8100 | |
Alyssa Christine Pike, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13805 Jefferson Park Dr Apt 2404, Herndon, VA 20171 Phone: 412-526-7261 | |
Lauren Jackey, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1031 Sterling Rd Ste 203, Herndon, VA 20170 Phone: 703-466-5150 | |
Nourition Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13591 Bathgate Dr, Herndon, VA 20171 Phone: 571-449-6687 | |
Megan Kolwicz, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1031 Sterling Rd, Herndon, VA 20170 Phone: 703-466-5150 | |
Dina Marie Frangione, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 461 Carlisle Dr Ste A, Herndon, VA 20170 Phone: 757-773-0241 | |
Eryn David, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 700 Jenny Ann Ct, Herndon, VA 20170 Phone: 931-444-9802 |