Alexandra Nicole Ponce Arcilla, RDN, LDN
Dietitian, Registered in North Bethesda, MD. Individual provider (NPI-1).
NPI number1336737865
StatusActive
Last updated in NPPESJan 10, 2021
Details
- NPI
- 1336737865
- Entity type
- Individual (NPI-1)
- Name
- Alexandra Nicole Ponce Arcilla
- Credential
- RDN, LDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2021
- Certification date
- Jan 10, 2021
- Last updated
- Jan 10, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DX3866 | MD | Yes |
Practice location
11710 Old Georgetown Rd Apt 820North Bethesda, MD 20852-2696
Phone 240-899-7578
Mailing address
5268 Nicholson Ln Ste G-204Kensington, MD 20895-1009
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Registered Dietitian providers in North Bethesda, MD
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All 5 Registered Dietitian providers in North Bethesda · All 272 providers in North Bethesda
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