MRS. KELLY KATHRYN MCGUFFIN (RD) – Registered Dietitian, NPI 1295820553

MRS. KELLY KATHRYN MCGUFFIN (RD) is a healthcare provider. based in Mc lean, Virginia. specializing in Registered Dietitian. They hold the professional credentials RD. They hold a License No. 859065 (VA). The NPI Number for MRS. KELLY KATHRYN MCGUFFIN (RD) is 1295820553

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLY KATHRYN MCGUFFIN (RD)
NPI
1295820553
Phone
(703) 552-2722
Address
1360 BEVERLY RD
Enumeration Date
4 October 2006
Last Update Date
5 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2011 (15 years ago)
PAC ID
4183667389
Professional Enrollment ID
I20050608000882
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MRS. KELLY KATHRYN MCGUFFIN (RD)

  • 1360 BEVERLY RD

    SUITE 102

    MC LEAN, VA 221013643

    Phone: (703) 552-2722

    Type: Location

  • 43426, Nottingham Square, Ashbriar, Ashburn, Loudoun County, Virginia, 20147, United States

    ASHBURN, VA 201474574

    Phone: (540) 908-5538

    Type: Mailing

  • 24618 SALMON RIVER PL

    ALDIE, VA 201055534

    Phone: (540) 908-5538

    Type: Mailing

  • 3903 FAIR RIDGE DR STE 209

    FAIRFAX, VA 220332944

    Phone: (703) 424-9676

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050608000882IRegistered Dietitian Or Nutrition ProfessionalVATBD
I20131113000913IRegistered Dietitian Or Nutrition ProfessionalDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22101)

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Reviews

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Frequently asked questions

Where can patients find MRS. KELLY KATHRYN MCGUFFIN (RD)'s NPI?
You can confirm MRS. KELLY KATHRYN MCGUFFIN (RD) with NPI 1295820553; it appears in the national provider directory.
Does this profile mean MRS. KELLY KATHRYN MCGUFFIN (RD) is currently active?
Yes — MRS. KELLY KATHRYN MCGUFFIN (RD) appears active in the national provider directory.
What field does MRS. KELLY KATHRYN MCGUFFIN (RD) work in?
You can think of MRS. KELLY KATHRYN MCGUFFIN (RD) as practicing within Registered Dietitian. Clinical services aligned with this taxonomy classification.
Does MRS. KELLY KATHRYN MCGUFFIN (RD) practice in Virginia?
You will see Mc Lean, Virginia on file for MRS. KELLY KATHRYN MCGUFFIN (RD) alongside any extra practice locations.
Is MRS. KELLY KATHRYN MCGUFFIN (RD) a real provider?
This page reflects official NPPES data for NPI 1295820553. Always confirm identity and privileges with the practice and licensing boards.

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