OrganizationActive
Indomitable Spirit, LLC
NPI 1801499165 · Nutritionist · Reston, VA
Provider details
- NPI number
- 1801499165
- Entity type
- Organization
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Janell Kaplan, Sole Member(703) 376-7768
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Nutrition Education Nutritionist133NN1002X
Dietary & Nutritional Service Providers
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
- Massage Therapist225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
12020 Sunrise Valley Dr Ste 100
Reston, VA 20191-3429
Phone: (703) 376-7768
Approximate (ZIP-level) locationGet directions
Mailing address
3632 Holborn Pl
Frederick, MD 21704-7394
Other names (DBA / former)
- Doing business as
- Flourish Functional Medicine
- Doing business as
- Remission Functional Medicine
Registry dates
- Enumerated
- 2020-11-19
- Last updated
- 2021-08-31
- Certified
- 2021-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.