Healthcare Provider Details

I. General information

NPI: 1235707688
Provider Name (Legal Business Name): CINDY RENEE SCHWALB CNS, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2021
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42100 SAXON SHORE DR
LEESBURG VA
20176-7621
US

IV. Provider business mailing address

3903 FAIR RIDGE DR STE 209
FAIRFAX VA
22033-2944
US

V. Phone/Fax

Practice location:
  • Phone: 703-930-0426
  • Fax:
Mailing address:
  • Phone: 703-865-6490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License NumberDX5297
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License NumberDX5297
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: