JANE L MAHAN-WIEGAND (NPI# 1073910345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073910345 |
| Entity Type | Individual |
| Full Name | JANE L MAHAN-WIEGAND |
| Other Name | JANE MAHAN |
| Credential | M.S., R.D. |
| Practice Address |
1900 Campus Commons Drive Suite 100 Reston VA 20191 |
| Mailing Address |
13527 Old Dairy Road Herndon VA 20171 |
| Practice Telephone | 7036065233 |
| Mailing Telephone | 7036065233 |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2018-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
1900 CAMPUS COMMONS DRIVE SUITE 100 |
| City | RESTON |
| State | VA |
| Zip Code | 20191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| 1528237625 | Patane & Associates Physical Therapy, LLC | Physical Therapist | 12310 Pinecrest Rd Suite 207, Reston, VA 20191 | 2008-02-22 |
| Find all providers in zip 20191 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720699374 | Megan E Mcclelland | Dietitian, Registered | 1850a Town Center Pkwy Ste 301, Reston, VA 20190-3232 | 2020-08-16 |
| 1669007696 | Robyn Emilia Engman | Dietitian, Registered | 12004 Waterside View Dr Apt 21, Reston, VA 20194-1744 | 2020-03-10 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1083992721 | Paige Allison Einstein | Dietitian, Registered | 11335 Sunset Hills Rd, Reston, VA 20190-5205 | 2011-07-29 |
| 1548825870 | Mood Balance Nutrition, LLC | Dietitian, Registered | 1760 Reston Parkway, Suite 212, Reston, VA 20190 | 2019-05-02 |
| 1659835049 | Mary Frances Hasty Hartley | Dietitian, Registered | 11800 Sunrise Valley Dr Ste 700, Reston, VA 20191-5315 | 2019-01-30 |
| 1073008256 | Jayne Vecchio | Dietitian, Registered | 11800 Sunrise Valley Dr Ste 700, Reston, VA 20191-5315 | 2018-06-29 |
| 1285148197 | Laurie Thenedy | Dietitian, Registered | 11800 Sunrise Valley Dr Ste 700, Reston, VA 20191-5315 | 2017-11-30 |
| 1700336187 | Ashley Palatiello | Dietitian, Registered | 1760 Reston Pkwy Ste 212, Reston, VA 20190-3358 | 2016-10-10 |
| 1649667528 | Austin Thomas | Dietitian, Registered | 11710 Plaza America Dr Ste 2000, Reston, VA 20190-4743 | 2015-04-19 |
| Find all providers in RESTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.