Individual provider Active NPI

Emily Liles, RDN

  • Registered Dietitian
  • Richmond, VA
National Provider Identifier
1356066922
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86297919 Issued in VA
Practice address
1500 N 28TH St
Richmond, VA 23223-5332
Phone
(804) 764-7885
NPI assigned
Oct 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86297919 VA Primary

Addresses

Primary practice location

1500 N 28TH St
Richmond, VA 23223-5332

Mailing address

4024 Stirrup Creek Dr
Durham, NC 27703-9464
Phone (919) 908-9730

Other practice location 1

6600 W Broad St Ste 400
Richmond, VA 23230-1709
Phone (804) 774-4550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230306001282 VA Practitioner - Registered Dietitian Or Nutrition Professional 0840663217 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86297919VAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Feb 20, 2023 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Feb 20, 2023 Accepting new patients

Locations

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

1500 N 28th St
Richmond, VA 23223
Phone (804) 225-1700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1356066922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 STIRRUP CREEK DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277039464",
            "telephone_number": "919-908-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N 28TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232235332",
            "telephone_number": "804-764-7885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6600 W Broad St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232301709",
            "country_code": "US",
            "telephone_number": "804-774-4550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILES",
        "first_name": "EMILY",
        "name_prefix": "Ms.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "86297919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.