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NPISignal

Individual Healthcare Provider

Patricia Diefenbach, ND, CNS, CPT

NPI Record: ActiveNutritionist — Nutrition, Education
NPI1003203258
Fairfax Station, Virginia

Provider's NPPES record last updated: March 3, 2020

Overview

Entity Type
Individual Healthcare Provider
NPI
1003203258
Primary Specialty
Nutritionist — Nutrition, Education
Practice Location
Fairfax Station, Virginia
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 10:41 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Nutritionist

    Nutrition, Education

    Dietary & Nutritional Service Providers

    Primary

    Definition to come...

    Taxonomy code 133NN1002X
  • Naturopath

    Other Service Providers

    Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life.

    Taxonomy code 175F00000X
  • Specialist/Technologist

    Athletic Trainer

    Respiratory, Developmental, Rehabilitative and Restorative Service Providers

    Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

    Taxonomy code 2255A2300X

Provider-Reported License Information

Naturopath (District of Columbia)
0053
Naturopath (Connecticut)
000538
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

6907 Brimstone Ln

Fairfax Station, Virginia 22039-1819

Phone: (703) 609-8717

Record Information

Enumeration Date
April 24, 2015
Provider's NPPES Record Last Updated
March 3, 2020
Certification Date
March 3, 2020
NPISignal NPPES Dataset
August 2026

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