Provider Demographics
NPI:1043637432
Name:FROST, DIONNE GAYE (RD, CDE)
Entity type:Individual
Prefix:MS
First Name:DIONNE
Middle Name:GAYE
Last Name:FROST
Suffix:
Gender:F
Credentials:RD, CDE
Other - Prefix:MISS
Other - First Name:DIONNE
Other - Middle Name:GAYE
Other - Last Name:DISHMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RDN
Mailing Address - Street 1:2041 GEORGIA AVE NW STE 1-OP97
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20060-0001
Mailing Address - Country:US
Mailing Address - Phone:202-865-3376
Mailing Address - Fax:202-877-7775
Practice Address - Street 1:2041 GEORGIA AVE NW STE 1-OP97
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-1134
Practice Address - Country:US
Practice Address - Phone:202-865-3376
Practice Address - Fax:202-865-3495
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-24
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCD1100000045133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic