Provider Demographics
NPI:1669773438
Name:KAPLAN, JANELL A (MS, LDN, CNS)
Entity type:Individual
Prefix:
First Name:JANELL
Middle Name:A
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:MS, LDN, CNS
Other - Prefix:
Other - First Name:JANELL
Other - Middle Name:A
Other - Last Name:BOWIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT, BCTMB
Mailing Address - Street 1:12020 SUNRISE VALLEY DR STE 100
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-3429
Mailing Address - Country:US
Mailing Address - Phone:703-376-7768
Mailing Address - Fax:703-215-1375
Practice Address - Street 1:12020 SUNRISE VALLEY DR STE 100
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-3429
Practice Address - Country:US
Practice Address - Phone:703-376-7768
Practice Address - Fax:703-215-1375
Is Sole Proprietor?:No
Enumeration Date:2010-11-10
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNU200000215133N00000X
MDDX5128133V00000X, 133N00000X
KYBMTMTH00215973225700000X
MDM04137225700000X
WAMA60160289225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist