MS. KATHLEEN K REILY (NPI# 1750527198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750527198 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN K REILY |
| Credential | RD, CDE |
| Practice Address |
8640 Sudley Rd Suite 108 Manassas VA 20110-4420 |
| Practice Telephone | 7033698616 |
| Practice Fax Number | 7033698533 |
| Mailing Telephone | 7033698616 |
| Mailing Fax Number | 7033698533 |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 491168 | NY | Dietary & Nutritional Service Providers |
| Street Address |
8640 SUDLEY RD SUITE 108 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053311555 | Robert A W Latimer | Family Medicine | 8640 Sudley Rd, Suite 203, Manassas, VA 20110-4420 | 2005-07-26 |
| 1285095398 | Jennifer Shannon Haag | Nurse Practitioner | 8640 Sudley Rd, Suite 303, Manassas, VA 20110-4420 | 2016-03-16 |
| 1265827513 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8640 Sudley Rd, Suite 302, Manassas, VA 20110-4420 | 2015-04-03 |
| 1699169995 | Katherine Virginia Warzinski | Nurse Practitioner | 8640 Sudley Rd, Manassas, VA 20110-4420 | 2015-03-25 |
| 1255729372 | Melissa Nemeth | Nurse Practitioner | 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4420 | 2014-12-23 |
| 1558765636 | Amy J. Brozick | Nurse Practitioner | 8640 Sudley Rd, Suite 306, Manassas, VA 20110-4420 | 2014-10-17 |
| 1144623109 | Lanelle Emerson | Specialist/Technologist | 8640 Sudley Rd, Manassas, VA 20110-4420 | 2014-10-06 |
| 1750719936 | Kari Blereau | Nurse Practitioner | 8640 Sudley Rd, Suite 203, Manassas, VA 20110-4420 | 2013-10-24 |
| 1316297591 | Sarah A Brady | Nurse Practitioner | 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4420 | 2012-09-14 |
| 1619263803 | Jessica Field Hamman | Nurse Practitioner | 8640 Sudley Rd, Suite 306, Manassas, VA 20110-4420 | 2011-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
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| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578193348 | Jennifer Lopez | Dietitian, Registered | 8640 Sudley Rd Ste 108, Manassas, VA 20110-4404 | 2020-01-21 |
| 1548723182 | Jennifer Littau | Dietitian, Registered | 8425 Girvan Ct, Manassas, VA 20109-4280 | 2019-04-10 |
| 1114113933 | Sharlene Holladay | Dietitian, Registered | 7518 Diplomat Dr, Manassas, VA 20109-2690 | 2007-09-16 |
| 1578697298 | Roseleen M Allen | Dietitian, Registered | 5670 Davis Ford Rd, Manassas, VA 20112-3054 | 2007-03-15 |
| 1992847222 | Elliott M Horowitz | Dietitian, Registered | 12030 Kemps Landing Cir, Manassas, VA 20109-4838 | 2007-02-13 |
| 1417410069 | A Balanced Life Rx LLC | Dietitian, Registered | 8425 Girvan Ct, Manassas, VA 20109-4280 | 2019-04-10 |
| 1912445537 | Angela Paul | Dietitian, Registered | 10701 Rosemary Dr, Manassas, VA 20109-7282 | 2017-02-02 |
| 1174969695 | Teri Travi | Dietitian, Registered | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2013-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891876 | Margaret Rawls | Dietitian, Registered | 4303 Smithdeal Ave, Richmond, VA 23225-3320 | 2020-11-05 |
| 1558968875 | Veronica Winkler | Dietitian, Registered | 208 Birch St Ne, Leesburg, VA 20176-4524 | 2020-10-08 |
| 1235736364 | Shirin Pourafshar | Dietitian, Registered | 966 Belvedere Blvd, Charlottesville, VA 22901-3202 | 2020-10-01 |
| 1326645557 | Erin Elizabeth Redgrave | Dietitian, Registered | 1055 Old Fox Trail Ln, Crozet, VA 22932-3141 | 2020-10-01 |
| 1528675204 | Lyndel Rose Schuster | Dietitian, Registered | 3104 Park Ave, Richmond, VA 23221-1610 | 2020-09-28 |
| 1174139406 | Nicole Evangelista | Dietitian, Registered | 815 18th St S Apt 601, Arlington, VA 22202-2633 | 2020-09-22 |
| 1366058612 | Karen Perez Via | Dietitian, Registered | 3580 Joseph Siewick Dr Ste 204, Fairfax, VA 22033-1764 | 2020-09-22 |
| 1447866926 | Rita Ann Eusanio | Dietitian, Registered | 5903 Mount Eagle Dr Apt 1409, Alexandria, VA 22303-2532 | 2020-09-19 |
| 1154935179 | Eryn David | Dietitian, Registered | 700 Jenny Ann Ct, Herndon, VA 20170-3152 | 2020-09-08 |
| 1043823420 | Grace Lange Kopf | Dietitian, Registered | 6953 Fieldwood Rd, Chester, VA 23831-3832 | 2020-08-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.