Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannan E Bergtholdt, MSED, RD

Individual provider Registered Dietitian · NPI 1407159361

Shannan E Bergtholdt, MSED, RD is a Registered Dietitian in Springfield, Virginia. Practices as a sole proprietor. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

8116 Ashtonbirch Dr
Springfield, VA 22152-3021
Phone: (757) 288-5727
Fax: (757) 210-5386
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Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1407159361
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED , RD
Sole proprietorYes
NPI enumeratedDecember 15, 2010
Last updated in NPPESJanuary 27, 2021
Certification dateJanuary 27, 2021
Mailing address8116 Ashtonbirch Dr, Springfield, VA 22152-3021

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