OrganizationActive
Nourish Well Integrative Nutrition, LLC
NPI 1407724404 · Nutritionist · Herndon, VA
Nourish Well Integrative Nutrition, LLC is a Nutritionist organization in Herndon, VA (NPI 1407724404).
Provider details
- NPI number
- 1407724404
- Entity type
- Organization
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Keren Dolan, Managing Member/ Clinical Director(703) 468-1241
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
481 Carlisle Dr # D1
Herndon, VA 20170-4882
Phone: (703) 468-1241
Fax: (703) 468-1241
Street-level locationGet directions
Mailing address
481 Carlisle Dr # D1
Herndon, VA 20170-4882
Additional practice locations (1)
- 750 MD Rt 3 SGambrills, MD 21054-1300Phone: (703) 468-1241
Registry dates
- Enumerated
- 2025-10-29
- Last updated
- 2025-12-01
- Certified
- 2025-12-01
Frequently asked questions
- What is Nourish Well Integrative Nutrition, LLC's NPI number?
- Nourish Well Integrative Nutrition, LLC's National Provider Identifier (NPI) is 1407724404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nourish Well Integrative Nutrition, LLC?
- Nourish Well Integrative Nutrition, LLC is classified in the NPPES registry as Nutritionist (Dietary & Nutritional Service Providers).
- Where is Nourish Well Integrative Nutrition, LLC located?
- Nourish Well Integrative Nutrition, LLC's practice location on file with NPPES is 481 Carlisle Dr # D1, Herndon, VA 20170-4882.
- What is Nourish Well Integrative Nutrition, LLC's phone number?
- The practice phone number listed in the NPPES registry for Nourish Well Integrative Nutrition, LLC is (703) 468-1241.
- Who is the authorized official for Nourish Well Integrative Nutrition, LLC?
- The authorized official listed on Nourish Well Integrative Nutrition, LLC's NPPES record is Keren Dolan, Managing Member/ Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nourish Well Integrative Nutrition, LLC's NPI active?
- Yes — Nourish Well Integrative Nutrition, LLC's NPI (1407724404) is active in the NPPES registry as of the last update on 2025-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.