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MR. IBRAHIM BENSOUDA REGISTERED DIETITIAN
NPI 1306669395
Dietitian, Registered in Tysons, VA

Active since November 06, 2024
1775 TYSONS BLVD FL 5, TYSONS, VA 22102(703) 459-8656 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Ibrahim Bensouda Registered Dietitian NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. IBRAHIM BENSOUDA REGISTERED DIETITIAN (NPI 1306669395) is an individual dietitian, registered in Tysons, Virginia, licensed in (86358477) and active in the NPI registry since November 2024. He maintains a secondary practice location in Lorton.

NPPES Registry Identity

NPI1306669395
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameMR. IBRAHIM BENSOUDACredential: REGISTERED DIETITIAN
Location Address1775 TYSONS BLVD FL 5Tysons, VA 22102-4285
Mailing Address9088 Tanyard LnLorton, VA 22079-5210
Phone(703) 459-8656
Sole ProprietorYes
Enumeration DateNovember 6, 2024
Last NPPES UpdateNovember 26, 2024
NPPES CertifiedNovember 26, 2024
✔ NPI 1306669395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed · 86358477
Definition
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.
1775 TYSONS BLVD FL 5, Tysons, VA 22102
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Secondary Practice Location 1

Location 19088 Tanyard LnLorton, VA 22079-5210 · Phone (703) 459-8656

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STAUNTON MC 1 LLC
Behavior Analyst
1775 TYSONS BLVD FL 5
MC LEAN, VA 22102
Fairfax County (786) 210-8200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ibrahim Bensouda's NPI number?

The NPI number for Ibrahim Bensouda is 1306669395. It was assigned to this individual provider in the NPPES registry on November 6, 2024.

Where is Ibrahim Bensouda located?

Ibrahim Bensouda practices at 1775 Tysons Blvd Fl 5, Tysons, VA 22102. The listed phone number is (703) 459-8656.

What is Ibrahim Bensouda's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Ibrahim Bensouda was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.