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Contact Information

THRIVE NUTRITION
16567 SIOUX LN
GAITHERSBURG, MD20878-2048
 Phone: 240-780-8135
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for THRIVE NUTRITION

NPI Number 1104395953
LBN Legal business name THRIVE NUTRITION
Authorized official ASTRIDA TENENG - (REGISTERED DIETITIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 11/21/2018
Last updated 03/09/2025 - More than a year ago
Identifiers
Other 12585463 CAQH
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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