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MIRIAM EACKLOFF RD
NPI 1427608165
Dietitian, Registered in Springfield, VA

Active since September 15, 2019
5510 ALMA LN STE 300, SPRINGFIELD, VA 22151(703) 642-5990 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 7, 2022, Nov 5, 2022, Apr 12, 2022 and 1 more (4 updates tracked since 2019).

About Miriam Eackloff Rd NPPES

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

MIRIAM EACKLOFF RD (NPI 1427608165) is an individual dietitian, registered in Springfield, Virginia, licensed in Virginia (86101057) and active in the NPI registry since September 2019. She maintains a secondary practice location in Fairfax.

NPPES Registry Identity

NPI1427608165
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMIRIAM EACKLOFFCredential: RD
Location Address5510 ALMA LN STE 300Springfield, VA 22151-4028
Mailing Address13112 Moss Ranch LnFairfax, VA 22033-3524 · (703) 887-9750
Phone(703) 642-5990
Sole ProprietorYes
Enumeration DateSeptember 15, 2019
Last NPPES UpdateNovember 7, 20224 updates tracked since enumeration
NPPES CertifiedNovember 7, 2022
✔ NPI 1427608165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in VA · 86101057
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.
5510 ALMA LN STE 300, Springfield, VA 22151
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Secondary Practice Location 1

Location 113112 Moss Ranch LnFairfax, VA 22033-3524 · Phone (703) 887-9750

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miriam Eackloff Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Miriam Eackloff reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Virginia Medical Alliance PC
Same address
Internal Medicine
5510 ALMA LN
Springfield, VA 22151
  • Reassigned Medicare billing, District of Columbia enrollment
  • Medicare enrollment name: Virginia Medical Alliance, P.C.
  • 13 clinicians in this Medicare group
NPI 1225083223 (703) 642-5990
Boundless Nutrition LLC
12 mi
Clinic/Center
13112 MOSS RANCH LN
Fairfax, VA 22033
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3 clinicians in this Medicare group
NPI 1033828694 (703) 705-2720

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Miriam Eackloff's NPI number?

The NPI number for Miriam Eackloff is 1427608165. It was assigned to this individual provider in the NPPES registry on September 15, 2019.

Where is Miriam Eackloff located?

Miriam Eackloff practices at 5510 Alma Ln Ste 300, Springfield, VA 22151. The listed phone number is (703) 642-5990.

What is Miriam Eackloff's specialty?

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

Is Miriam Eackloff enrolled in Medicare?

Yes. Miriam Eackloff is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Miriam Eackloff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Eackloff reassigns Medicare benefits to 2 organizations: Virginia Medical Alliance PC (Springfield, VA) and Boundless Nutrition LLC (Fairfax, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miriam Eackloff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Miriam Eackloff was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.