1. Home
  2. Directory
  3. Virginia
  4. Fairfax
  5. Specialist Technologist Other
  6. NPI Profile

KORTNEY JAMAL RICHARDSON READUS
NPI 1205355468
Specialist/Technologist, Other - Surgical Assistant in Fairfax, VA

Active since September 19, 2017
10332 MAIN ST # 344, FAIRFAX, VA 22030(815) 272-6652 Get Directions Write a Review

NPPES record last updated: September 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kortney Jamal Richardson Readus NPPES

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

KORTNEY JAMAL RICHARDSON READUS (NPI 1205355468) is an individual surgical assistant in Fairfax, Virginia and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1205355468
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameKORTNEY JAMAL RICHARDSON READUS
Location Address10332 MAIN ST # 344Fairfax, VA 22030-2410
Mailing Address10332 Main St # 344Fairfax, VA 22030-2410 · (815) 272-6652
Phone(815) 272-6652
Sole ProprietorYes
Enumeration DateSeptember 19, 2017
✔ NPI 1205355468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
10332 MAIN ST # 344, Fairfax, VA 22030
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

TRI-STATE SURGICAL ASSOCIATES
Physician Assistant (Surgical)
10332 MAIN ST # 344
FAIRFAX, VA 22030
Fairfax City (571) 244-4684
LOUIS KALISCH SA-C
Physician Assistant (Surgical)
10332 MAIN ST # 344
FAIRFAX, VA 22030
Fairfax City (571) 309-9768

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 Kortney Richardson Readus's NPI number?

The NPI number for Kortney Richardson Readus is 1205355468. It was assigned to this individual provider in the NPPES registry on September 19, 2017.

Where is Kortney Richardson Readus located?

Kortney Richardson Readus practices at 10332 Main St # 344, Fairfax, VA 22030. The listed phone number is (815) 272-6652.

What is Kortney Richardson Readus's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Kortney Richardson Readus was last updated on September 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.