IndividualActive
Amanda Stathos, MS, RD, LD
NPI 1144869678 · Registered Dietitian · Lorton, VA
Provider details
- NPI number
- 1144869678
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, LD
- Sex
- Female
- Sole proprietor
- No
- License
- DI100001076 (DC)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Practice location
9031 Endicott Pl
Lorton, VA 22079-4541
Phone: (815) 321-1555
Approximate (ZIP-level) locationGet directions
Mailing address
9031 Endicott Pl
Lorton, VA 22079-4541
Registry dates
- Enumerated
- 2020-01-01
- Last updated
- 2022-09-15
- Certified
- 2022-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.