Individual provider Active NPI

Ellen Christine Redling, RN,CS,MS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Ashburn, VA
National Provider Identifier
1366448029
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
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
Last updated
Oct 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 0015000549 VA Primary

Addresses

Primary practice location

44355 Premier PLZ
Suite 120
Ashburn, VA 20147-5049

Mailing address

47168 Sky LN
Sterling, VA 20165-7515
Phone (703) 444-5059

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
Credentials
Master of Science, Registered Nurse

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • 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.