Ellen Christine Redling, RN,CS,MS

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

0015000549 Issued in VA

Practice address

44355 Premier PLZ
Suite 120
Ashburn, VA 20147-5049

Phone

(703) 955-0537

Fax

(703) 723-5998

NPI assigned

Jun 27, 2005

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Registered Nurse

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 10, 2012.

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1366448029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47168 SKY LN",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657515",
            "telephone_number": "703-444-5059",
            "fax_number": "703-723-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44355 PREMIER PLZ",
            "address_2": "SUITE 120",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475049",
            "telephone_number": "703-955-0537",
            "fax_number": "703-723-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDLING",
        "first_name": "ELLEN",
        "middle_name": "CHRISTINE",
        "credential": "RN,CS,MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "VA",
            "license": "0015000549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "355608",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "256426",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55-1060-1",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Ashburn, VA
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.