1. Home
  2. Directory
  3. Virginia
  4. Fairfax
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

KELLY ELIZABETH GRANT BERTLING DNP, AGPCNP
NPI 1194673103
Student in an Organized Health Care Education/Training Program in Fairfax, VA

Active since March 17, 2026
8081 INNOVATION PARK DR, FAIRFAX, VA 22031(571) 472-1390 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Elizabeth Grant Bertling Dnp, Agpcnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY ELIZABETH GRANT BERTLING DNP, AGPCNP (NPI 1194673103) is an individual student in an organized health care education/training program in Fairfax, Virginia and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1194673103
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY ELIZABETH GRANT BERTLINGCredential: DNP, AGPCNP
Location Address8081 INNOVATION PARK DRFairfax, VA 22031-4867
Mailing Address8081 Innovation Park DrFairfax, VA 22031-4867 · (571) 472-1390
Phone(571) 472-1390
Sole ProprietorNo
Enumeration DateMarch 17, 2026
NPPES CertifiedMarch 17, 2026
✔ NPI 1194673103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
8081 INNOVATION PARK DR, Fairfax, VA 22031
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAYMUND S CUEVO M.D.
Internal Medicine (Medical Oncology)
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Fairfax County (571) 472-4724
DR. MICHAEL MAITLAND M.D., PH.D.
Internal Medicine (Medical Oncology)
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Fairfax County (571) 472-4724
RADIATION ONCOLOGY ASSOCIATES, PC
Radiology (Radiation Oncology)
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Fairfax County (571) 472-0606
KATHLEEN KIERNAN HARNDEN M.D.
Internal Medicine (Medical Oncology)
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Fairfax County (571) 472-4724
MRS. MEGAN R SLOCUM PA-C
Physician Assistant
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Fairfax County (571) 472-4724
SHEINEI SALEEM ALAN MD, PHD
Internal Medicine
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Fairfax County (571) 472-1390
CARRIE PEERS RDN
Dietitian, Registered
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Fairfax County (571) 472-1945
DR. EUN-MI YU M.D.
Internal Medicine (Medical Oncology)
8081 INNOVATION PARK DR
FAIRFAX, VA 22031
Fairfax County (571) 472-4724

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Bertling's NPI number?

The NPI number for Kelly Bertling is 1194673103. It was assigned to this individual provider in the NPPES registry on March 17, 2026.

Where is Kelly Bertling located?

Kelly Bertling practices at 8081 Innovation Park Dr, Fairfax, VA 22031. The listed phone number is (571) 472-1390.

What is Kelly Bertling's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kelly Bertling was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.