IndividualActive
Ernest Ralston, CCEMTP-T, IDC, EPIDE
NPI 1720409014 · Military Health Care Provider · Centreville, VA
Provider details
- NPI number
- 1720409014
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Credential
- CCEMTP-T, IDC, EPIDE
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3016-2852 (IN)
Specialties & taxonomies
Other Service Providers
Emergency Medical Service Providers
- Independent Duty Corpsman1710I1002X
Other Service Providers
- Paramedic146L00000X
Emergency Medical Service Providers
- Health & Wellness Coach171400000X
Other Service Providers
- Health Educator174H00000X
Other Service Providers
Practice location
14519 Creek Branch Ct
Centreville, VA 20120-1358
Phone: (703) 226-9192
Approximate (ZIP-level) locationGet directions
Mailing address
14519 Creek Branch Ct
Centreville, VA 20120-1358
Registry dates
- Enumerated
- 2014-01-03
- Last updated
- 2026-01-30
- Certified
- 2026-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.