Active NPI
Casey Harp Kirlin
- Registered Dietitian
- Suffolk, VA
National Provider Identifier
1306029038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 00943892
- Practice address
- 6305 Old Westham Dr S
Suffolk, VA 23435-3003 - Phone
- (757) 615-4095
- NPI assigned
- Dec 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 00943892 | VA | Primary |
Addresses
Primary practice location
6305 Old Westham Dr S
Suffolk, VA 23435-3003
Mailing address
6305 Old Westham Dr S
Suffolk, VA 23435-3003
Phone (757) 615-4095
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00943892 | VA | MD | Registered Dietitian |
Interoperability endpoints
- casey.kirlin@168064768409604.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432080000000",
"number": "1306029038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6305 OLD WESTHAM DR S",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353003",
"telephone_number": "757-615-4095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6305 OLD WESTHAM DR S",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353003",
"telephone_number": "757-615-4095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRLIN",
"first_name": "CASEY",
"middle_name": "HARP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-17",
"last_updated": "2015-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "00943892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.