Active NPI
Sharlene Holladay, MS, RD, LD
- Registered Dietitian
- Manassas, VA
National Provider Identifier
1114113933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 807658
- Practice address
- 7518 Diplomat Dr
Manassas, VA 20109-2690 - Phone
- (703) 331-3890
- NPI assigned
- Sep 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 549 | WV | |
| Registered Dietitian | 133V00000X | 807658 | Primary |
Addresses
Primary practice location
7518 Diplomat Dr
Manassas, VA 20109-2690
Mailing address
7518 Diplomat Dr
Manassas, VA 20109-2690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 549 | WV | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189900800000",
"number": "1114113933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7518 DIPLOMAT DR",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201092690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7518 DIPLOMAT DR",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201092690",
"telephone_number": "703-331-3890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLADAY",
"first_name": "SHARLENE",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-16",
"last_updated": "2007-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WV",
"license": "549",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "807658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.