KIMBERLY RISSER
NPI 1457200925
Student in an Organized Health Care Education/Training Program in Manassas, VA

Active since January 27, 2026
11700 WISTERIA POND WAY APT 418, MANASSAS, VA 20109(224) 567-2776 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberly Risser NPPES

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

KIMBERLY RISSER (NPI 1457200925) is an individual student in an organized health care education/training program in Manassas, Virginia and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1457200925
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKIMBERLY RISSER
Location Address11700 WISTERIA POND WAY APT 418Manassas, VA 20109-3833
Mailing Address11700 Wisteria Pond Way Apt 418Manassas, VA 20109-3833 · (224) 567-2776
Sole ProprietorYes
Enumeration DateJanuary 27, 2026
NPPES CertifiedJanuary 27, 2026
NPI 1457200925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

11700 WISTERIA POND WAY APT 418, Manassas, VA 20109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457200925, enumerated as an "individual" on January 27, 2026.

The provider is located at 11700 WISTERIA POND WAY APT 418 MANASSAS, VA 20109 and the phone number is (224) 567-2776.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.