Provider Demographics
NPI:1821630310
Name:TADIO, KATHRYN (MS, RDN)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:TADIO
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:TADIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, RDN, LDN
Mailing Address - Street 1:1901 N BEAUREGARD ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22311-1738
Mailing Address - Country:US
Mailing Address - Phone:804-495-1294
Mailing Address - Fax:
Practice Address - Street 1:1901 N BEAUREGARD ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311-1738
Practice Address - Country:US
Practice Address - Phone:804-495-1294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-16
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered