Provider Demographics
NPI:1902780299
Name:MANUEL, JADE (RD)
Entity type:Individual
Prefix:
First Name:JADE
Middle Name:
Last Name:MANUEL
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:JADE
Other - Middle Name:
Other - Last Name:MENIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:814 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-4041
Mailing Address - Country:US
Mailing Address - Phone:607-857-6333
Mailing Address - Fax:
Practice Address - Street 1:814 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-4041
Practice Address - Country:US
Practice Address - Phone:607-857-6333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered