Individual provider Active NPI

Ashley Reed Stickley, RD

  • Registered Dietitian
  • Virginia Beach, VA
National Provider Identifier
1912496167
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
1577 Laskin Rd Ste 105
Virginia Beach, VA 23451
Phone
(757) 422-4728
NPI assigned
May 3, 2018
Last updated
Jun 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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 NU Primary

Addresses

Primary practice location

1577 Laskin Rd Ste 105
Virginia Beach, VA 23451

Mailing address

601 Treemont CT Apt 1925
Virginia Beach, VA 23454-7080
Phone (804) 248-8305

Other practice location 1

115 College Pl
Norfolk, VA 23510-1900
Phone (757) 440-3200

Other practice location 2

2861 Lynnhaven Dr
Virginia Beach, VA 23451-1561
Phone (757) 412-0019

Other names 1

  • Ashely Kindervater Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1912496167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 TREEMONT CT APT 1925",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234547080",
            "telephone_number": "804-248-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 LASKIN RD STE 105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23451",
            "telephone_number": "757-422-4728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 College Pl",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235101900",
            "country_code": "US",
            "telephone_number": "757-440-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2861 Lynnhaven Dr",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234511561",
            "country_code": "US",
            "telephone_number": "757-412-0019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STICKLEY",
        "first_name": "ASHLEY",
        "middle_name": "REED",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHELY",
            "last_name": "KINDERVATER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.