Nutritionists and Dietitians in Middleburg, VA

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Photo of Shawna S Shaw, Nutritionist/Dietitian, MS, RDN, CLT
Shawna S Shaw
Nutritionist/Dietitian, MS, RDN, CLT
1 Endorsed
Online Only
Do you suffer from IBS, migraines, chronic pain/fatigue, or autoimmune illness? Find out how food sensitivities can contribute to these conditions and more.
Do you suffer from IBS, migraines, chronic pain/fatigue, or autoimmune illness? Find out how food sensitivities can contribute to these conditions and more.
(769) 247-5529 View (769) 247-5529
Photo of Mike Gannon - Fit For Success, Nutritionist/Dietitian, BS, CPT, CSCS
Fit For Success
Nutritionist/Dietitian, BS, CPT, CSCS
Reston, VA 20191
My ideal client is one who is committed and passionate about improving their body and mind. If your purpose is any one of the following objectives: to lose weight, increase strength and muscle tone, transform your body, create supportive habits, improve your health or simply look and feel better about yourself, your purpose becomes my commitment to you. Each training period is devoted to bringing you closer to your desired outcome. Together with consistency and perseverance, we ultimately succeed and become fit for success.
My ideal client is one who is committed and passionate about improving their body and mind. If your purpose is any one of the following objectives: to lose weight, increase strength and muscle tone, transform your body, create supportive habits, improve your health or simply look and feel better about yourself, your purpose becomes my commitment to you. Each training period is devoted to bringing you closer to your desired outcome. Together with consistency and perseverance, we ultimately succeed and become fit for success.
(703) 297-8942 View (703) 297-8942
Photo of Susan Berkow, Nutritionist/Dietitian, PhD, CNS
Susan Berkow
Nutritionist/Dietitian, PhD, CNS
Serves Area
I am a nutrition consultant located in the Washington DC-area maintaining a clinical practice in Alexandria, Virginia and Silver Spring, Maryland. My focus is on eating disorders, weight management, diabetes and nutrition care of other chronic diseases. In addition, I am on the faculty of George Mason University, Department of Global and Community Health, Fairfax, Virginia. As a professional speaker I develop and conduct educational workshops in nutrition for physicians and other health
I am a nutrition consultant located in the Washington DC-area maintaining a clinical practice in Alexandria, Virginia and Silver Spring, Maryland. My focus is on eating disorders, weight management, diabetes and nutrition care of other chronic diseases. In addition, I am on the faculty of George Mason University, Department of Global and Community Health, Fairfax, Virginia. As a professional speaker I develop and conduct educational workshops in nutrition for physicians and other health
(703) 596-0171 View (703) 596-0171
Photo of Bailey Saneman, Nutritionist/Dietitian, MS, RD, LDN
Bailey Saneman
Nutritionist/Dietitian, MS, RD, LDN
Online Only
As a dietitian with a non-diet approach, my nutrition philosophy is rooted in intuitive eating, honoring our bodies, and experiencing joyful movement. I believe that everyone deserves a peaceful relationship with food, movement and their bodies. I work with clients who struggle with food labeling/judgements, weight-cycling and chronic dieting. Together, we will identify goals that meet your own unique needs that allow for a sustainable recovery.
As a dietitian with a non-diet approach, my nutrition philosophy is rooted in intuitive eating, honoring our bodies, and experiencing joyful movement. I believe that everyone deserves a peaceful relationship with food, movement and their bodies. I work with clients who struggle with food labeling/judgements, weight-cycling and chronic dieting. Together, we will identify goals that meet your own unique needs that allow for a sustainable recovery.
(301) 244-9265 View (301) 244-9265
Photo of Lara Lattman, Nutritionist/Dietitian, MS, CNS, LDN
Lara Lattman
Nutritionist/Dietitian, MS, CNS, LDN
Serves Area
I am a Certified Nutrition Specialist focusing on helping my clients regain their joy in life. If you're having symptoms of IBS, an autoimmune disease, chronic fatigue, or in general know you could feel better, I am here to guide you on your journey to wellness. We work together to find the best diet for your body so you can eat confidently and stop wondering if the next fad diet is the one that will work.
I am a Certified Nutrition Specialist focusing on helping my clients regain their joy in life. If you're having symptoms of IBS, an autoimmune disease, chronic fatigue, or in general know you could feel better, I am here to guide you on your journey to wellness. We work together to find the best diet for your body so you can eat confidently and stop wondering if the next fad diet is the one that will work.
(240) 252-1999 View (240) 252-1999
Photo of Rebecca Mohning, Nutritionist/Dietitian, MS, RD, CSSD, LD, CPT
Rebecca Mohning
Nutritionist/Dietitian, MS, RD, CSSD, LD, CPT
Serves Area
Rebecca is a registered dietitian, board certified sports dietitian and a personal trainer with her Bachelor's degree in dietetics and her graduate degree in exercise and sports science from Iowa State University. She also has a personal training certification from the American College of Sports Medicine. Rebecca works with digestive issues, allergies, weight issues and with several athletes from various training groups - DC tri, Team Z, Team in Training, Pacers, and others. She also works closely with folks with multiple food allergies and has very extensive and personal experience in this area as well as with weight loss.
Rebecca is a registered dietitian, board certified sports dietitian and a personal trainer with her Bachelor's degree in dietetics and her graduate degree in exercise and sports science from Iowa State University. She also has a personal training certification from the American College of Sports Medicine. Rebecca works with digestive issues, allergies, weight issues and with several athletes from various training groups - DC tri, Team Z, Team in Training, Pacers, and others. She also works closely with folks with multiple food allergies and has very extensive and personal experience in this area as well as with weight loss.
(571) 207-9841 View (571) 207-9841
Photo of Romy Nathan, Nutritionist/Dietitian, RDN, LD
Romy Nathan
Nutritionist/Dietitian, RDN, LD
1 Endorsed
Reston, VA 20190
Waitlist for new clients
A Registered Dietitian/Nutritionist for over 25 years, I work with both adults and children to meet their nutrition goals. I can help you with medical nutrition therapy for including diabetes, pre-diabetes, hypertension, abnormal lipid levels, and weight management. My philosophy is one of balance and moderation and my goal is to help you improved your nutrition and health within your comfort zone and lifestyle constraints. Each person has unique needs and goals. Helping them to achieve them is my priority.
A Registered Dietitian/Nutritionist for over 25 years, I work with both adults and children to meet their nutrition goals. I can help you with medical nutrition therapy for including diabetes, pre-diabetes, hypertension, abnormal lipid levels, and weight management. My philosophy is one of balance and moderation and my goal is to help you improved your nutrition and health within your comfort zone and lifestyle constraints. Each person has unique needs and goals. Helping them to achieve them is my priority.
(703) 775-4692 View (703) 775-4692
Photo of Kathy Capozzi, Nutritionist/Dietitian, RDN
Kathy Capozzi
Nutritionist/Dietitian, RDN
1 Endorsed
Leesburg, VA 20176
I am a Registered Dietitian Nutritionist helping people live happier and healthier lives through improved nutrition and positive lifestyle changes. I believe food and eating are meant to be pleasurable, not a source of stress and frustration. After listening carefully to your unique story, we will work together as a team to develop individualized solutions that are simple and sustainable using holistic approaches within a compassionate, judgement-free environment. I am particularly passionate about gut health and its foundational impact on overall health and wellness.
I am a Registered Dietitian Nutritionist helping people live happier and healthier lives through improved nutrition and positive lifestyle changes. I believe food and eating are meant to be pleasurable, not a source of stress and frustration. After listening carefully to your unique story, we will work together as a team to develop individualized solutions that are simple and sustainable using holistic approaches within a compassionate, judgement-free environment. I am particularly passionate about gut health and its foundational impact on overall health and wellness.
(703) 783-3460 View (703) 783-3460
Photo of Samantha Smith, Nutritionist/Dietitian, RDN, CPT
Samantha Smith
Nutritionist/Dietitian, RDN, CPT
Herndon, VA 20170
Samantha is a Registered Dietitian Nutritionist who obtained her bachelors degree in Nutritional Sciences from The Pennsylvania State University. Then she went on to complete her Dietetic Internship with Virginia Tech. Samantha prioritizes her patients health goals first and foremost. She is especially passionate about helping clients with sustainable weight management (weight gain or weight loss). As well as helping clients navigate nutrition with GI issues, skin issues, and diabetes management.
Samantha is a Registered Dietitian Nutritionist who obtained her bachelors degree in Nutritional Sciences from The Pennsylvania State University. Then she went on to complete her Dietetic Internship with Virginia Tech. Samantha prioritizes her patients health goals first and foremost. She is especially passionate about helping clients with sustainable weight management (weight gain or weight loss). As well as helping clients navigate nutrition with GI issues, skin issues, and diabetes management.
(571) 554-5716 View (571) 554-5716
Photo of Miriam Eackloff, Nutritionist/Dietitian, RD, LDN
Miriam Eackloff
Nutritionist/Dietitian, RD, LDN
Online Only
Waitlist for new clients
To provide you with the best care, Miriam equips you with the individualized tools and resources to empower you to take control of your health. Miriam ensures that your primary care doctors, as well as your specialists are included in your care. Alongside your doctor(s), Miriam works with you to figure out what is going to make you the most successful in meeting your health goals.
To provide you with the best care, Miriam equips you with the individualized tools and resources to empower you to take control of your health. Miriam ensures that your primary care doctors, as well as your specialists are included in your care. Alongside your doctor(s), Miriam works with you to figure out what is going to make you the most successful in meeting your health goals.
(571) 605-2214 View (571) 605-2214
Photo of Theresa Mary Roth - Be Healthy Nutrition Consulting, Nutritionist/Dietitian, RDN , LD, CEDS-S
Be Healthy Nutrition Consulting
Nutritionist/Dietitian, RDN , LD, CEDS-S
1 Endorsed
Fairfax, VA 22030
Be Healthy Nutrition Consulting is a group practice of 12 dietitians who specialize in eating disorders. We are committed to helping people overcome their struggles with food. We has extensive experience in the field of eating disorders and we believe that all individuals are worthy of recovery. Our dietitians provide a non-judgmental environment while promoting self-compassion and we use a Health at Every Size (HAES) approach.
Be Healthy Nutrition Consulting is a group practice of 12 dietitians who specialize in eating disorders. We are committed to helping people overcome their struggles with food. We has extensive experience in the field of eating disorders and we believe that all individuals are worthy of recovery. Our dietitians provide a non-judgmental environment while promoting self-compassion and we use a Health at Every Size (HAES) approach.
(703) 782-5629 View (703) 782-5629
Photo of Lisa Brown, Nutritionist/Dietitian, MS, RD, CLT
Lisa Brown
Nutritionist/Dietitian, MS, RD, CLT
1 Endorsed
Online Only
Do you have a chronic health issue such as Lyme disease, ulcerative colitis, IBS, fibromyalgia, autoimmune disease, arthritis, or chronic migraines? Are you tired of digestive discomfort, fatigue, rashes and a poor quality of life? Are you annoyed that the medications and treatments your doctor has given you have not helped? I would like to help you identify what may be at the root of the problem. Sixty to eighty percent of your immune system is in your gut.
Do you have a chronic health issue such as Lyme disease, ulcerative colitis, IBS, fibromyalgia, autoimmune disease, arthritis, or chronic migraines? Are you tired of digestive discomfort, fatigue, rashes and a poor quality of life? Are you annoyed that the medications and treatments your doctor has given you have not helped? I would like to help you identify what may be at the root of the problem. Sixty to eighty percent of your immune system is in your gut.
(571) 458-1396 View (571) 458-1396
Photo of Stacie Haaga, Nutritionist/Dietitian, RD, CLT
Stacie Haaga
Nutritionist/Dietitian, RD, CLT
2 Endorsed
Online Only
Are you looking for answers to your chronic health problems? Have those problems failed to respond to traditional treatments? Determining your unique food sensitivities may be the missing link you need to improve your quality of life. I use MRT/LEAP gut health protocol to addresses those sensitivities and is effective in the management of autoimmune diseases, IBS, Candida, Crohn's, Fibromyalgia, headaches, migraines, chronic fatigue, and other inflammatory diseases. Treatable symptoms include acne, eczema, joint pain, sinusitis, diarrhea, constipation, brain fog, and unexplained weight loss or gain, among others.
Are you looking for answers to your chronic health problems? Have those problems failed to respond to traditional treatments? Determining your unique food sensitivities may be the missing link you need to improve your quality of life. I use MRT/LEAP gut health protocol to addresses those sensitivities and is effective in the management of autoimmune diseases, IBS, Candida, Crohn's, Fibromyalgia, headaches, migraines, chronic fatigue, and other inflammatory diseases. Treatable symptoms include acne, eczema, joint pain, sinusitis, diarrhea, constipation, brain fog, and unexplained weight loss or gain, among others.
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Photo of Megan Cashdollar, Nutritionist/Dietitian, NTA
Megan Cashdollar
Nutritionist/Dietitian, NTA
4 Endorsed
Online Only
If you’ve been to doctor after doctor without real answers, you’re not alone, and you’re in the right place. I specialize in complex, chronic health challenges and help clients address issues like autoimmune conditions, severe digestive symptoms, hormone imbalances, thyroid issues, chronic fatigue, brain fog, anxiety, depression, joint pain, stubborn weight that won’t budge, blood sugar dysregulation and diabetes support, PMS, oxalate & histamine issues & food intolerances. As a functional nutritionist, I don’t believe in chasing symptoms or one-size-fits-all plans.
If you’ve been to doctor after doctor without real answers, you’re not alone, and you’re in the right place. I specialize in complex, chronic health challenges and help clients address issues like autoimmune conditions, severe digestive symptoms, hormone imbalances, thyroid issues, chronic fatigue, brain fog, anxiety, depression, joint pain, stubborn weight that won’t budge, blood sugar dysregulation and diabetes support, PMS, oxalate & histamine issues & food intolerances. As a functional nutritionist, I don’t believe in chasing symptoms or one-size-fits-all plans.
(267) 710-8136 View (267) 710-8136
Photo of Kelly Abramson, Nutritionist/Dietitian, MS, RD, MSCP
Kelly Abramson
Nutritionist/Dietitian, MS, RD, MSCP
Online Only
Menopause is real. So are the midlife gut issues that are running your life. If you're a woman in your 40s or 50s, and you want real solutions for the bloating, digestive issues, hormone shifts, and metabolic changes that midlife brings — and you're tired of cutting out all the foods with no lasting relief, you're in the right place.
Menopause is real. So are the midlife gut issues that are running your life. If you're a woman in your 40s or 50s, and you want real solutions for the bloating, digestive issues, hormone shifts, and metabolic changes that midlife brings — and you're tired of cutting out all the foods with no lasting relief, you're in the right place.
(571) 578-0777 View (571) 578-0777
Photo of Mary Frances Hartley, Nutritionist/Dietitian, MS, RDN
Mary Frances Hartley
Nutritionist/Dietitian, MS, RDN
1 Endorsed
Leesburg, VA 20175
I am a Registered Dietitian passionate about helping clients achieve their health goals through a personalized lifestyle approach using intuitive eating practices. Rather than focusing solely on weight, I help patients to focus on their current lifestyle and set reasonable goals towards achieving a better relationship with food and their body. Food has a complex relationship with many other components of our lives including sleep, physical activity, hydration and emotions. We will work through all of these items by setting individualized, achievable goals.
I am a Registered Dietitian passionate about helping clients achieve their health goals through a personalized lifestyle approach using intuitive eating practices. Rather than focusing solely on weight, I help patients to focus on their current lifestyle and set reasonable goals towards achieving a better relationship with food and their body. Food has a complex relationship with many other components of our lives including sleep, physical activity, hydration and emotions. We will work through all of these items by setting individualized, achievable goals.
(571) 200-5505 View (571) 200-5505
Photo of Shelby Santin, Nutritionist/Dietitian, RD
Shelby Santin
Nutritionist/Dietitian, RD
Serves Area
I am a Certified Eating Disorder Specialist and Registered Dietitian. My goal is to act as a guide as you reclaim your relationship with food by letting go of a restrictive diet mentality and relearning how to trust your body.
I am a Certified Eating Disorder Specialist and Registered Dietitian. My goal is to act as a guide as you reclaim your relationship with food by letting go of a restrictive diet mentality and relearning how to trust your body.
(202) 643-0416 View (202) 643-0416
Photo of Virginia Inglese, Nutritionist/Dietitian, LCSW, RD, MA, CLC, EDS
Virginia Inglese
Nutritionist/Dietitian, LCSW, RD, MA, CLC, EDS
Vienna, VA 22180
Ideally, a client who presents with disordered eating and needs a combination of psychotherapy, nutritional therapy, and bodywork or fitness training. Using a holistic approach, I address underlying issues and triggers behind the disordered eating. I teach clients to identify their feelings, use non-food coping skills, awareness of true hunger cues, and become more connected to their bodies by separating food from feelings. Together in a safe, supportive environment, we will explore barriers to change such as body image, exercise resistance, and emotional eating.
Ideally, a client who presents with disordered eating and needs a combination of psychotherapy, nutritional therapy, and bodywork or fitness training. Using a holistic approach, I address underlying issues and triggers behind the disordered eating. I teach clients to identify their feelings, use non-food coping skills, awareness of true hunger cues, and become more connected to their bodies by separating food from feelings. Together in a safe, supportive environment, we will explore barriers to change such as body image, exercise resistance, and emotional eating.
(571) 290-2702 View (571) 290-2702
Photo of Michelle K. Berman, Nutritionist/Dietitian, MS, RD, LD
Michelle K. Berman
Nutritionist/Dietitian, MS, RD, LD
Online Only
Finding a dietitian who can personalize a program for your needs, and empower you to make healthier dietary lifestyle choices is a big decision. The benefits of this journey are oftentimes the greatest gift you can give yourself or to someone you love. My role is to help educate, guide, coach, and support you so that you can achieve your goals. I’ve had the privilege of working in this profession for many years, and feel a deep connection to my work and the clients I serve. Major Areas of Specialization: Pediatric Nutrition, Clinical Adult Nutrition, Weight Management, Eating Disorders, Food Allergies, High Cholesterol.
Finding a dietitian who can personalize a program for your needs, and empower you to make healthier dietary lifestyle choices is a big decision. The benefits of this journey are oftentimes the greatest gift you can give yourself or to someone you love. My role is to help educate, guide, coach, and support you so that you can achieve your goals. I’ve had the privilege of working in this profession for many years, and feel a deep connection to my work and the clients I serve. Major Areas of Specialization: Pediatric Nutrition, Clinical Adult Nutrition, Weight Management, Eating Disorders, Food Allergies, High Cholesterol.
(571) 470-5817 View (571) 470-5817
Photo of Helena Ezzeldin, Nutritionist/Dietitian, MS, CNS, LDN
Helena Ezzeldin
Nutritionist/Dietitian, MS, CNS, LDN
1 Endorsed
Leesburg, VA 20175
Helena is a Licensed Dietitian Nutritionist in the VA, DC, and MD area who is dedicated to helping her clients re-discover a healthy relationship with food and their body.Over the years she has found a deep connection working with co-morbid health challenges that many times accompany disordered eating such as gastrointestinal conditions, Crohn’s Disease, and Hormonal Imbalances. She has strong experience working with the Binge Eating Population, along with other disorder. In all her practices she leads with the Intuitive Eating and Health at Every Size(HAES) principles as she guides her clients towards food freedom
Helena is a Licensed Dietitian Nutritionist in the VA, DC, and MD area who is dedicated to helping her clients re-discover a healthy relationship with food and their body.Over the years she has found a deep connection working with co-morbid health challenges that many times accompany disordered eating such as gastrointestinal conditions, Crohn’s Disease, and Hormonal Imbalances. She has strong experience working with the Binge Eating Population, along with other disorder. In all her practices she leads with the Intuitive Eating and Health at Every Size(HAES) principles as she guides her clients towards food freedom
(571) 771-1313 View (571) 771-1313
FAQs - About Nutritionists and Dietitians

How can I find a dietitian or nutritionist in Middleburg?

To find dietitians and nutritionists near you, input your city, town, suburb, zip code, or a provider's name in the search bar at the top of the page. From there, you can filter by specialty, treatment technique, and gender to find a dietitian or nutritionist who matches your needs.

When you visit a dietitian or nutritionist's profile, you can get a better idea if they're the right fit for you. Consider things like session cost, accepted insurance plans, and their location or telehealth options. If someone seems like a good match, you can email them or call the number on their profile. When speaking with a professional, pay attention to whether or not you feel comfortable in the conversation and how knowledgeable they are about your specific nutrition concerns. It may also be helpful to ask more about their general approach to nutrition and the training behind their credentials.

What is the difference between a dietitian and a nutritionist?

The terms dietitian and nutritionist are often used interchangeably. However, there are actually key credential differences between dietitians and nutritionists that are important to keep in mind when seeking a nutrition professional.

A registered dietitian (RD) or registered dietitian nutritionist (RDN) has earned at least a graduate degree from an accredited program, completed a supervised practice program, passed the Commission on Dietetic Registration exam, and continues their education regularly. The RD and RDN credentials are regulated by the Academy of Nutrition and Dietetics, the largest nutrition-related organization in the country. Only professionals who meet their standards can call themselves an RD or RDN and enjoy privileges like billing insurance. Additionally, RDs and RDNs can get board certifications in specialized areas such as gerontological nutrition (CSG), sports dietetics (CSSD), pediatric nutrition (CSP), renal nutrition (CSR), or oncology nutrition (CSO). They also need state licensure, which usually aligns with national requirements.

In contrast, the title "nutritionist" doesn't require any formal education or credentials; anyone can use the title of nutritionist, including those with very limited or no formal training in nutrition. Although there are certification programs that are marketed toward those interested in nutrition counseling, the rigor and academic requirements for such programs varies greatly. These important differences between dietitians and nutritionists are thus very important to consider when choosing the right nutrition professional for your needs. To be listed in the HealthProfs directory, Nutritionists must have a minimum of a Masters Degree in a relevant field.

When should I see a dietitian or a nutritionist?

Clients seek nutritional support from dietitians and nutritionists for various reasons, ranging from medical conditions to lifestyle concerns like weight loss or dietary requirements; however, it's always important to find a professional who is a good fit for you. Consider factors such as insurance coverage, your specific medical or dietary concerns, and the availability of professionals near you to determine whether a dietitian or nutritionist may be a better fit.

Generally, nutritionists are not covered by insurance, whereas Registered Dietitians (RDs) often are, especially for those with medical conditions. If you have a chronic medical condition like cancer or kidney disease, you might want to seek out an RD with specialized expertise, such as a Board Certified Specialist in Oncology Nutrition (CSO) or a Board Certified Specialist in Renal Nutrition (CSR). These credentials indicate advanced education and a commitment to ongoing learning within a specific area. Additionally, consider the availability of professionals in your area and their openness to telehealth sessions. While the field of dietetics is growing, there may not always be a wide selection of professionals, especially in rural areas. In such cases, focusing on the experience and expertise of the nutrition professional can be more important than their specific credentials.

Do I need a referral to see a dietitian or a nutritionist?

A referral is not required to see a dietitian or nutritionist, and many individuals independently seek nutritional support without prior medical advice. However, for a nutrition service to be covered by insurance, a referral from a primary care physician or another medical professional may be necessary. In such cases, a referral is typically made for those who have been formally diagnosed with a medical condition requiring nutrition counseling, such as diabetes or hypertension. If insurance coverage is critical to a client's ability to see a dietitian, they should contact their insurance provider to determine if a referral is needed for nutritional counseling and to understand any potential co-pays or coverage limits that may apply in their individual circumstance.

How much does it cost to see a dietitian or a nutritionist?

The cost of seeing a dietitian or nutritionist depends on a number of variables, including their location, their specialty, whether they take insurance, and the professional's experience and training. On average, the cost of out-of-pocket sessions with a dietitian or nutritionist within the United States ranges from $50-$150. In some cases, nutrition professionals will require a longer initial evaluation session that will cost more than ongoing follow-up sessions. Dietitians and nutritionists may also offer packages for clients interested in longer-term nutritional support; in such cases, they may charge monthly or other periodic fees for more comprehensive services, such as a combination of nutrition sessions and out-of-session coaching support. If nutrition services are covered by a client's insurance plan and they are eligible for coverage based on any referral requirements, the out-of-pocket cost of seeing a dietitian may be completely covered or significantly reduced.

Are consultations with a dietitian or nutritionist covered by insurance?

If your insurance covers nutrition services, the cost is usually lower than paying out-of-pocket. However, insurance coverage can vary based on factors like your specific plan details, whether you choose an in-network or out-of-network provider, and whether you have a referral for nutrition services based on a medical diagnosis.

Coverage also depends on the type of nutrition service. Typically, insurance plans only cover services provided by a licensed Registered Dietitian (RD) and do not cover those offered by nutritionists or nutrition coaches without the RD credential. If nutrition services are not covered by your insurance, some dietitians and nutritionists may offer sliding scale rates or lower-cost services for clients who cannot afford their full fee. However, these spots are often limited and may not always be available.