Kelley M Manahan, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024171028 Issued in VA

Practice address

6000 Stevenson Ave Ste 208
Alexandria, VA 22304-3526

Phone

(703) 379-7215

Fax

(606) 203-1457

NPI assigned

Aug 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Virginia Internal Medicine Inc

  • Internal Medicine Physician
  • Ashburn, VA
  • NPI 1740525245

  DC

  Medicare reassignment NPD
• Virginia Internal Medicine, PC and Urgent Care Services, Inc.

  • Primary Care Clinic/Center
  • Annandale, VA
  • NPI 1679800619
  NPD (past)

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1700218310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 WAYSIDE PL",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102864",
            "telephone_number": "202-256-7221",
            "fax_number": "606-203-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 STEVENSON AVE STE 208",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043526",
            "telephone_number": "703-379-7215",
            "fax_number": "606-203-1457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 State St Fl 26",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021091827",
            "country_code": "US",
            "telephone_number": "855-635-1393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANAHAN",
        "first_name": "KELLEY",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024171028",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024171028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evgeny Malts
• Alison D. Maltz, MA., CCC-SLP
• Mambo Royal Care LLC
• Aytan Mammadova, M.D
• Sebele T Mamo
• Anteneh Manahle, PHARM.D
• Karina Mira Manalastas, LPC-R, ATR-P
• Rajana Manandhar
• Manchester Lakes Medical
• Lauren Mancinelli, OD

• Adult Health Nurse Practitioner in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.