Provider Demographics
NPI:1689948846
Name:GRIFFITHS, ELLEN MADISON (RD)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:MADISON
Last Name:GRIFFITHS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3005 S LEISURE WORLD BLVD APT 703
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-8309
Mailing Address - Country:US
Mailing Address - Phone:240-605-6126
Mailing Address - Fax:202-499-7592
Practice Address - Street 1:4600 E WEST HWY STE 605
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-9809
Practice Address - Country:US
Practice Address - Phone:240-481-8198
Practice Address - Fax:202-499-7592
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-05
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDI195133V00000X
MDD00670133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered