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MARY SISTRUNK RD
NPI 1811083884
Dietitian, Registered in Waldorf, MD

Active since October 05, 2006
3510 OLD WASHINGTON RD, SUITE #100, WALDORF, MD 20602(301) 609-5200(301) 609-5220 Get Directions Write a Review

NPPES record last updated: April 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Sistrunk Rd NPPES

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

MARY SISTRUNK RD (NPI 1811083884) is an individual dietitian, registered in Waldorf, Maryland, licensed in Maryland (D01770) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1811083884
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMARY SISTRUNKCredential: RD
Location Address3510 OLD WASHINGTON RD, SUITE #100Waldorf, MD 20602-3233
Mailing Address3510 Old Washington Rd, Suite #100Waldorf, MD 20602-3233 · (301) 609-5200 · Fax (301) 609-5220
Phone(301) 609-5200
Fax(301) 609-5220
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateApril 28, 2008
✔ NPI 1811083884 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 MD · D01770
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.
3510 OLD WASHINGTON RD, Waldorf, MD 20602
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Other Identifiers 1

Medicare PINKP70H348MD

Other Providers at the Same Location NPPES 13

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

THE WALDORF ENDOSCOPY ASC, LLC
Clinic/Center (Ambulatory Surgical)
3510 OLD WASHINGTON RD
WALDORF, MD 20602
Charles County (301) 638-5354
DR. BETTY SIU MD
Internal Medicine
3510 OLD WASHINGTON RD, SUITE #100
WALDORF, MD 20602
Charles County (301) 609-5200
BIO-MEDICAL APPLICATIONS OF MARYLAND, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3510 OLD WASHINGTON RD, SUITE 300
WALDORF, MD 20602
Charles County (301) 870-0220
MRS. AMANDA MARIE HILL CRNP
Nurse Practitioner (Family)
3510 OLD WASHINGTON RD, SUITE 100
WALDORF, MD 20602
Charles County (301) 932-5890
DR. RITA GROVER M.D.
Specialist
3510 OLD WASHINGTON RD, SECOND FLOOR
WALDORF, MD 20602
Charles County (240) 427-1859
PATUXENT ANESTHESIA, PA
Specialist
3510 OLD WASHINGTON RD, SUITE 200
WALDORF, MD 20602
Charles County (240) 427-1731
WALDORF ANESTHESIA SERVICES LLC
Anesthesiology
3510 OLD WASHINGTON RD, STE 200
WALDORF, MD 20602
Charles County (301) 861-3660
SURGICAL ASSOCIATES, CHARTERED
Surgery (Vascular Surgery)
3510 OLD WASHINGTON RD
WALDORF, MD 20602
Charles County (240) 427-1720

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 Mary Sistrunk's NPI number?

The NPI number for Mary Sistrunk is 1811083884. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Mary Sistrunk located?

Mary Sistrunk practices at 3510 Old Washington Rd Suite #100, Waldorf, MD 20602. The listed phone number is (301) 609-5200.

What is Mary Sistrunk'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 Mary Sistrunk was last updated on April 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.