ELAN FITNESS AND NUTRITION (NPI# 1104450238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104450238 |
| Entity Type | Organization |
| Organization Name | ELAN FITNESS AND NUTRITION |
| Practice Address |
1751 Pinnacle Dr Ste 600 Mc Lean VA 22102-4007 |
| Practice Telephone | 2026009826 |
| Mailing Telephone | 2026009826 |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-04-26 |
| Authorized Official Name | THEA BOATSWAIN (OWNER) |
| Authorized Official Telephone | 2026009826 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| Y | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Elan Fitness and Nutrition LLC | 1751 Pinnacle Dr, Suite 600, Mclean, Virginia 22102 |
| System for Award Management (SAM) Entities | ELAN FITNESS AND NUTRITION, LLC | 14077 Eagle Chase Cir, Chantilly, VA 20151-2242 |
| Street Address |
1751 PINNACLE DR STE 600 |
| City | MC LEAN |
| State | VA |
| Zip Code | 22102-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720556442 | Caroline Yumi Strunk | Counselor | 1751 Pinnacle Dr Ste 600, Mc Lean, VA 22102-4007 | 2018-11-12 |
| 1679113369 | Thea N Boatswain | Nutritionist | 1751 Pinnacle Dr Ste 600, Mc Lean, VA 22102-4007 | 2020-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134686249 | Partnerships In Care Corporation | In Home Supportive Care | 8200 Greensboro Drive, Mclean, VA 22102 | 2019-02-25 |
| 1124597919 | Choi Ying Hoo | Massage Therapist | 8347a Greensboro Dr, Yulli Therapeutic Healing Center, Tysons Corner Mclean, VA 22102 | 2018-11-21 |
| 1063998086 | Golden Angel Care LLC | In Home Supportive Care | 1765 Greensboro Station Pl Ste 900, Mc Lean, VA 22102 | 2018-07-12 |
| 1699278291 | Chukwudi Luke Onwuka | Behavior Technician | 1651 Old Meadow Road Suite 600, Mclean, VA 22102 | 2018-03-10 |
| 1861901969 | Behavior Health Inc | Psychiatry & Neurology | 8000 Westpark Drive, Suite 140, Mclean, VA 22102 | 2017-09-21 |
| 1487013504 | Sharon Simon | Nurse Practitioner | 1430 Spring Hill Rd Ste 103, Mc Lean, VA 22102 | 2016-02-17 |
| 1699130336 | Somatus, Inc. | Case Management | 1861 International Drive Suite 600, Mclean, VA 22102 | 2015-12-23 |
| 1225388580 | Victoria A Bacsardi | Social Worker | 8008 Westpark Dr Ste 315, Mc Lean, VA 22102 | 2012-09-14 |
| 1962757336 | Ramiro Wladimir Lizano Santamaria | Pediatrics | Children's Heart Institute, P. O Box 10066, Mclean, VA 22102 | 2012-07-20 |
| 1538302047 | Crystal St. Clair | Anesthesiology | 8008 Westpark Dr., Mclean, VA 22102 | 2009-04-14 |
| Find all providers in zip 22102 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113369 | Thea N Boatswain | Nutritionist | 1751 Pinnacle Dr Ste 600, Mc Lean, VA 22102-4007 | 2020-01-09 |
| 1114498797 | Nour El Houda Amri | Nutritionist | 6829 Elm St Ste 300, Mc Lean, VA 22101-3845 | 2018-12-08 |
| 1740444843 | Christine H Haas | Nutritionist | 1360 Beverly Rd, Suite 102, Mc Lean, VA 22101-3643 | 2008-07-17 |
| 1316981228 | Susan Summerill Brady | Nutritionist | 6845 Elm Street, Suite 110, Mc Lean, VA 22101 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588454 | Eleanor Duelley | Nutritionist | 10007 Georgian Woods Ct, Burke, VA 22015-2745 | 2020-11-07 |
| 1083212757 | Charlien Anne Staltare | Nutritionist | 46762 Graham Cove Sq, Sterling, VA 20165-7535 | 2020-10-14 |
| 1689287179 | Alona Orofino | Nutritionist | 88 Colebrook Rd, Fredericksburg, VA 22405-2817 | 2020-08-25 |
| 1063035327 | Rachita Kenny | Nutritionist | 4737 Grand Masters Way, Lake Ridge, VA 22192-5551 | 2020-05-21 |
| 1740801232 | Amy Smith | Nutritionist | 851 French Moore Jr Blvd Ste 135, Abingdon, VA 24210-4706 | 2020-05-06 |
| 1578183620 | Ryan D Hall | Nutritionist | 925 E Jefferson St Ste A, Charlottesvle, VA 22902-5573 | 2020-04-19 |
| 1689293573 | Tonya Nicole Cummings | Nutritionist | 1101 Providence St, Apt. 101, Stafford, VA 22554-8303 | 2020-04-11 |
| 1053949537 | Esosa Edosomwan | Nutritionist | 3970 Chain Bridge Rd, Fairfax, VA 22030-3316 | 2020-03-30 |
| 1184258899 | Alexandra Hockens | Nutritionist | 12711 Megills Landing Ln, Clifton, VA 20124-1450 | 2020-03-03 |
| 1710517461 | Jessica Michelle Pizano | Nutritionist | 7867 Hampton Forest Ln, Chesterfield, VA 23832-1974 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
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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.