Thea N. Boatswain, MS, RD
NPI 1679113369ActiveIndividual· Dietitian, Registered· Herndon, VA
Dietitian, Registered (MS, RD) in Herndon, Virginia, with an NPI issued in January 2020.
Overview
| NPI | 1679113369 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RD |
| Sole proprietor | Yes |
| NPI issued | Jan 9, 2020 |
| Last updated in NPPES | Dec 18, 2024 |
| Certified by provider | Dec 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | VA |
| Nutritionist | 133N00000X | — | — |
| Nutritionist, Nutrition, Education | 133NN1002X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dietitian, Registered providers in Herndon
- 1073886610
- 1295585180
- 1780167247
- 1275262255
- 1891288023
- 1336907112
- 1801406673
- 1154935179
- 1447114947
- 1245854900
- 1063129542
- 1437496460