OrganizationActive
Rediclinic of Va, LLC
NPI 1790140903 · Clinic/Center · Reston, VA
Provider details
- NPI number
- 1790140903
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Rediclinic, LLC
- Organization subpart
- Yes
- Authorized official
- Danielle Barrera, Chief Operating Officer(713) 580-9489
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2260a Hunters Woods Plz
Reston, VA 20191-2898
Phone: (713) 358-4881
Fax: (713) 358-4881
Street-level locationGet directions
Mailing address
9 Greenway Plz
Houston, TX 77046-0905
Registry dates
- Enumerated
- 2015-12-15
- Last updated
- 2015-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.