Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tracie Henderson, RDN

Individual provider Registered Dietitian · NPI 1659018554

Tracie Henderson, RDN is a Registered Dietitian OR Nutrition Professional in Richmond, Virginia. Qualified in 2010, 16 years ago. Practices with Bon Secours Medical Group Richmond Specialty Care LLC, a 354-clinician group and accepts Medicare assignment.

Years since qualifying
16
In the registry since
2022
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

1500 N 28th St
Richmond, VA 23223-5332
Phone: (804) 764-7885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1659018554
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorNo
NPI enumeratedMay 13, 2022
Last updated in NPPESMay 13, 2022
Certification dateMay 13, 2022
Mailing address2201 Grassy Knoll Ln, North Chesterfield, VA 23236-1716

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Bon Secours Medical Group Richmond Specialty Care Llc — 354 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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