MISS KIMBERLY DAWN PACKARD (NPI# 1164692083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164692083 |
| Entity Type | Individual |
| Full Name | MISS KIMBERLY DAWN PACKARD |
| Credential | R.D. |
| Practice Address |
44045 Riverside Pkwy Leesburg VA 20176-5101 |
| Practice Telephone | 7038586356 |
| Practice Fax Number | 7038586357 |
| Mailing Telephone | 7038586356 |
| Mailing Fax Number | 7038586357 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 926302 | VA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326295585 | Kimberly Renee Packard | Case Manager/Care Coordinator | 190 N Van Ness Ave, Fresno, CA 93701-1672 | 2008-08-19 |
| Street Address |
44045 RIVERSIDE PKWY |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023016821 | Jennifer Gut | Nurse Anesthetist, Certified Registered | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2005-07-14 |
| 1376161885 | Alexis Lydia Doherty | Nurse Practitioner | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2020-07-10 |
| 1942821038 | Melissa Lynn Hwang | Registered Nurse | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2020-04-30 |
| 1366061574 | Commonwealth Emergency Physicians PC | Nurse Practitioner | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2020-04-09 |
| 1497387328 | Hannah Burzumato | Nurse Anesthetist, Certified Registered | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2020-02-08 |
| 1437781523 | Premier Trauma and Surgical Specialists LLC | Physician Assistant | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2020-02-07 |
| 1023640182 | Margaret Smith Lynch | Nurse Practitioner | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2020-02-06 |
| 1427694454 | Mary Christine Hogan | Nurse Practitioner | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2019-11-25 |
| 1669020442 | Brittany Marie Colley | Radiology | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2019-08-26 |
| 1457837395 | Susan Park Howell | Nurse Practitioner | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2018-07-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
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| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968875 | Veronica Winkler | Dietitian, Registered | 208 Birch St Ne, Leesburg, VA 20176-4524 | 2020-10-08 |
| 1578181624 | Kathy E.m. Capozzi | Dietitian, Registered | 400 Salyor Way Sw, Leesburg, VA 20175-5823 | 2020-07-06 |
| 1336690254 | Joy Lynn Holway | Dietitian, Registered | 113 Long Pine Dr, Leesburg, GA 31763-3145 | 2016-10-14 |
| 1578920294 | Bamr Bands | Dietitian, Registered | 812 Woodfield Ter Ne, Leesburg, VA 20176-6674 | 2016-01-26 |
| 1154384865 | Deanna D Lavanty | Dietitian, Registered | 382 Deerpath Ave Sw, Leesburg, VA 20175-2513 | 2006-04-11 |
| 1023433570 | Anna Gunter | Dietitian, Registered | 700 N Palmetto St, Leesburg, FL 34748-4419 | 2014-02-20 |
| 1568562072 | Barbara E Petty | Dietitian, Registered | 19415 Deerfield Ave, Suite 213, Leesburg, VA 20176-8452 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891876 | Margaret Rawls | Dietitian, Registered | 4303 Smithdeal Ave, Richmond, VA 23225-3320 | 2020-11-05 |
| 1235736364 | Shirin Pourafshar | Dietitian, Registered | 966 Belvedere Blvd, Charlottesville, VA 22901-3202 | 2020-10-01 |
| 1326645557 | Erin Elizabeth Redgrave | Dietitian, Registered | 1055 Old Fox Trail Ln, Crozet, VA 22932-3141 | 2020-10-01 |
| 1528675204 | Lyndel Rose Schuster | Dietitian, Registered | 3104 Park Ave, Richmond, VA 23221-1610 | 2020-09-28 |
| 1174139406 | Nicole Evangelista | Dietitian, Registered | 815 18th St S Apt 601, Arlington, VA 22202-2633 | 2020-09-22 |
| 1366058612 | Karen Perez Via | Dietitian, Registered | 3580 Joseph Siewick Dr Ste 204, Fairfax, VA 22033-1764 | 2020-09-22 |
| 1447866926 | Rita Ann Eusanio | Dietitian, Registered | 5903 Mount Eagle Dr Apt 1409, Alexandria, VA 22303-2532 | 2020-09-19 |
| 1154935179 | Eryn David | Dietitian, Registered | 700 Jenny Ann Ct, Herndon, VA 20170-3152 | 2020-09-08 |
| 1043823420 | Grace Lange Kopf | Dietitian, Registered | 6953 Fieldwood Rd, Chester, VA 23831-3832 | 2020-08-26 |
| 1689286148 | Kelly L Honeycutt | Dietitian, Registered | 5016 Hassell St, Virginia Beach, VA 23455-2606 | 2020-08-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.