YOUR WELLNESS SOURCES
NPI 1114420320
Dietitian, Registered in Hyattsville, MD
NPI Status: Active since March 14, 2018
Contact Information
4301 GARDEN CITY DR STE 304
HYATTSVILLE, MD
ZIP 20785
Phone: (301) 235-0060
- Organization
- Dietitian, Registered
- CLIA Number: 21D2130720
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 05-15-2027
About YOUR WELLNESS SOURCES
This page provides the complete NPI Profile along with additional information for Your Wellness Sources, a provider established in Hyattsville, Maryland operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1114420320 assigned on March 2018. The practitioner's primary taxonomy code is 133V00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Your Wellness Sources operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Your Wellness Sources. The authorized official of this NPI record is Marshalee George (Medical Director)
- NPI
- 1114420320
- Provider Legal Name
- WELLNESS SOURCE LLC
- Other Organization Name
- YOUR WELLNESS SOURCES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4301 GARDEN CITY DR STE 304 HYATTSVILLE, MD 20785
- Location Phone
- (301) 235-0060
- Mailing Address
- 4301 GARDEN CITY DR STE 304 HYATTSVILLE, MD 20785
- Mailing Phone
- (301) 235-0060
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-14-2018
- Last Update Date
- 05-04-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dietitian, Registered
- Taxonomy Code
- 133V00000X
- Type
- Dietary & Nutritional Service Providers
- Taxonomy Description
- A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 133VN1006X | Dietary & Nutritional Service Providers | Dietitian, Registered | |
| 2 | 133VN1201X | Dietary & Nutritional Service Providers | Dietitian, Registered | |
| 3 | 163WP0807X | Nursing Service Providers | Registered Nurse | |
| 4 | 163WP0808X | Nursing Service Providers | Registered Nurse | |
| 5 | 207RA0401X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 7 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 8 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 9 | 363LW0102X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2130720
- Facility Type
- Practitioner Other
- Certificate Effective Date
- May 16, 2025
- Certificate Expiration Date
- May 15, 2027
- Laboratory Director
- MARSHALEE GEORGE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Your Wellness Sources to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1114420320, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
HYATTSVILLE, MD 20785
HYATTSVILLE, MD 20785
HYATTSVILLE, MD 20785
HYATTSVILLE, MD 20785
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114420320, enumerated as an "organization" on March 14, 2018.
The provider is located at 4301 GARDEN CITY DR STE 304 HYATTSVILLE, MD 20785 and the phone number is (301) 235-0060.
Dietitian, Registered with taxonomy code 133V00000X.
