SAVANNAH ROSE LUDOLPH
NPI 1760363519
Dietitian, Registered - Nutrition, Obesity and Weight Management in Fairfax, VA

Active since September 09, 2025Accepts Medicare Assignment
3580 JOSEPH SIEWICK DR STE 205, FAIRFAX, VA 22033(703) 620-3211 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Savannah Rose Ludolph NPPES

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

SAVANNAH ROSE LUDOLPH (NPI 1760363519) is an individual nutrition, obesity and weight management provider in Fairfax, Virginia and active in the NPI registry since September 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1760363519
Entity TypeIndividualFemale
Primary Taxonomy133VN1201X
Provider Legal NameSAVANNAH ROSE LUDOLPH
Location Address3580 JOSEPH SIEWICK DR STE 205Fairfax, VA 22033-1764
Mailing Address10665 John Ayres DrFairfax, VA 22032-3102 · (703) 297-6859
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 9, 2025
Last NPPES UpdateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
NPI 1760363519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, Registered · Nutrition, Obesity and Weight ManagementDietary & Nutritional Service Providers
Taxonomy Code133VN1201X
Definition
An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions.
3580 JOSEPH SIEWICK DR STE 205, Fairfax, VA 22033

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Savannah Rose Ludolph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012497043
PECOS Enrollment IDI20260217004170

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner (Family)
3580 JOSEPH SIEWICK DR STE 205
FAIRFAX, VA 22033
Surgery
3580 JOSEPH SIEWICK DR STE 205
FAIRFAX, VA 22033
Social Worker (Clinical)
3580 JOSEPH SIEWICK DR STE 205
FAIRFAX, VA 22033
Dietitian, Registered
3580 JOSEPH SIEWICK DR STE 205
FAIRFAX, VA 22033
Surgery
3580 JOSEPH SIEWICK DR STE 205
FAIRFAX, VA 22033
Dietitian, Registered (Nutrition, Obesity and Weight Management)
3580 JOSEPH SIEWICK DR STE 205
FAIRFAX, VA 22033
Surgery
3580 JOSEPH SIEWICK DR STE 205
FAIRFAX, VA 22033
Internal Medicine
3580 JOSEPH SIEWICK DR STE 205
FAIRFAX, VA 22033

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 Savannah Ludolph's NPI number?

The NPI number for Savannah Ludolph is 1760363519. It was assigned to this individual provider in the NPPES registry on September 9, 2025.

Where is Savannah Ludolph located?

Savannah Ludolph practices at 3580 Joseph Siewick Dr Ste 205, Fairfax, VA 22033. The listed phone number is (703) 620-3211.

What is Savannah Ludolph's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Obesity and Weight Management, with taxonomy code 133VN1201X.

Is Savannah Ludolph enrolled in Medicare?

Yes. Savannah Ludolph is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Savannah Ludolph was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.