Provider Demographics
NPI:1427128115
Name:TIMM, LINDA L (RD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:L
Last Name:TIMM
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:LINNEKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6829 ELM ST
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3884
Mailing Address - Country:US
Mailing Address - Phone:703-532-4892
Mailing Address - Fax:
Practice Address - Street 1:6829 ELM ST
Practice Address - Street 2:SUITE 300
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3884
Practice Address - Country:US
Practice Address - Phone:703-532-4892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered