Active NPI
Cheryl Iny Harris, MPH, RD
- Registered Dietitian
- Fairfax Station, VA
National Provider Identifier
1366632630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 913737
- Practice address
- 6319 Karmich St
Fairfax Station, VA 22039-1622 - Phone
- (571) 271-8742
- NPI assigned
- Aug 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 913737 | VA | Primary |
Addresses
Primary practice location
6319 Karmich St
Fairfax Station, VA 22039-1622
Mailing address
6319 Karmich St
Fairfax Station, VA 22039-1622
Phone (571) 271-8742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081007000840 | DC | Practitioner - Registered Dietitian Or Nutrition Professional | 0749358497 | Practice locations: Fairfax Station, VA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 913737 | VA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John H and Cathy R Feder | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Alexandria, VA
- NPI 1639106073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1366632630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6319 KARMICH ST",
"city": "FAIRFAX STATION",
"state": "VA",
"postal_code": "220391622",
"telephone_number": "571-271-8742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6319 KARMICH ST",
"city": "FAIRFAX STATION",
"state": "VA",
"postal_code": "220391622",
"telephone_number": "571-271-8742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "CHERYL",
"middle_name": "INY",
"name_prefix": "Mrs.",
"credential": "MPH, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-01",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "913737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax Station, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.