Healthcare Provider Details

I. General information

NPI: 1376342550
Provider Name (Legal Business Name): DANIELLE N BYE RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 BLADENSBURG RD NE
WASHINGTON DC
20002-3930
US

IV. Provider business mailing address

100 I ST SE APT 707
WASHINGTON DC
20003-4863
US

V. Phone/Fax

Practice location:
  • Phone: 202-399-0812
  • Fax:
Mailing address:
  • Phone: 302-274-9864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number200001660
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: