Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dietetic Consultants of Northern Virginia, LLC

Organization Registered Dietitian · NPI 1831379882

Dietetic Consultants of Northern Virginia, LLC is a Registered Dietitian in Alexandria, Virginia. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2121 Eisenhower Ave Ste 200
Alexandria, VA 22314-4698
Phone: (703) 519-0901
Fax: (703) 519-0902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 2004009119 (MO)

Record details

NPI number1831379882
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bonita Lillie — President · (703) 879-5160
NPI enumeratedNovember 7, 2007
Last updated in NPPESSeptember 18, 2008
Mailing address5412 Castle Bar Ln, Alexandria, VA 22315-5519

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