Healthcare Provider Details

I. General information

NPI: 1104788751
Provider Name (Legal Business Name): MELISSA LINEBURG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8340 GREENSBORO DR UNIT 116
MC LEAN VA
22102-3535
US

IV. Provider business mailing address

8340 GREENSBORO DR UNIT 116
MC LEAN VA
22102-3535
US

V. Phone/Fax

Practice location:
  • Phone: 304-303-5911
  • Fax:
Mailing address:
  • Phone: 304-303-5911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License NumberDX6502
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: