| Minuteclinic Diagnostic Of Virginia Llc | |
|
19305 Ruby Dr Leesburg VA 20176-6508 | |
| (866) 389-2727 | |
| (401) 406-3539 |
| Full Name | Minuteclinic Diagnostic Of Virginia Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 19305 Ruby Dr, Leesburg, Virginia |
| Authorized Official Name and Position | Deborah Jean Pincince (ADMINISTRATOR) |
| Authorized Official Contact | 4017703813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minuteclinic Diagnostic Of Virginia Llc Po Box 772 Minuteclinic Credentialing-mc2295 Woonsocket RI 02895-0784 Ph: (401) 770-3813 | Minuteclinic Diagnostic Of Virginia Llc 19305 Ruby Dr Leesburg VA 20176-6508 Ph: (866) 389-2727 |
| NPI Number | 1417076829 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 06/24/2024 |
| Certification Date | 06/24/2024 |
| Medicare PECOS PAC ID | 6709960891 |
|---|---|
| Medicare Enrollment ID | O20080228000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417076829 | NPI | - | NPPES |
| Provider Name | Joanne Y Yoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235183575 PECOS PAC ID: 3577557677 Enrollment ID: I20040412001418 |
| Provider Name | Wanda B Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053561902 PECOS PAC ID: 0143206961 Enrollment ID: I20040624000700 |
| Provider Name | Debora Y Feeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568518298 PECOS PAC ID: 7012975956 Enrollment ID: I20041227000045 |
| Provider Name | Janet H Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154301968 PECOS PAC ID: 2163475757 Enrollment ID: I20050223000532 |
| Provider Name | Carolyn L Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104846948 PECOS PAC ID: 7113926007 Enrollment ID: I20061202000145 |
| Provider Name | Sherrie D Alicie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972786226 PECOS PAC ID: 1658441050 Enrollment ID: I20080528000157 |
| Provider Name | Roya Zarnegar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114013059 PECOS PAC ID: 8224108667 Enrollment ID: I20080528000505 |
| Provider Name | Harriette Annette Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447434774 PECOS PAC ID: 0648340620 Enrollment ID: I20080603000153 |
| Provider Name | Julie Oglesby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568651768 PECOS PAC ID: 9638249378 Enrollment ID: I20080606000082 |
| Provider Name | Iris Y Newsome-randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538350921 PECOS PAC ID: 3375614845 Enrollment ID: I20080611000744 |
| Provider Name | Kimberly D Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558453720 PECOS PAC ID: 8022189638 Enrollment ID: I20080625000099 |
| Provider Name | Lorena Y Knox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801079140 PECOS PAC ID: 7012084817 Enrollment ID: I20080919000519 |
| Provider Name | Phyllis D Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891967832 PECOS PAC ID: 4183792492 Enrollment ID: I20081013000596 |
| Provider Name | Karen M Capshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275795676 PECOS PAC ID: 9335205269 Enrollment ID: I20090312000337 |
| Provider Name | Jessica Michelle Dowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982890547 PECOS PAC ID: 8921151119 Enrollment ID: I20090805000722 |
| Provider Name | Janice D Grady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336110824 PECOS PAC ID: 9537200688 Enrollment ID: I20100111000820 |
| Provider Name | Diana H Rybinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275733826 PECOS PAC ID: 4183674997 Enrollment ID: I20100125000830 |
| Provider Name | Nahid S Asgari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306990296 PECOS PAC ID: 3870657372 Enrollment ID: I20100215000530 |
| Provider Name | Susan S Vaughan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093964801 PECOS PAC ID: 0749317824 Enrollment ID: I20100421000491 |
| Provider Name | Dany N Dalencourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851613954 PECOS PAC ID: 9830227750 Enrollment ID: I20100513000152 |
| Provider Name | Blen Abdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114223146 PECOS PAC ID: 2567647407 Enrollment ID: I20110523000504 |
| Provider Name | Carol L Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477833648 PECOS PAC ID: 8729259502 Enrollment ID: I20110928000165 |
| Provider Name | Nonye T Aghanya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821036849 PECOS PAC ID: 5991754442 Enrollment ID: I20111028000032 |
| Provider Name | Belen Bekele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932489721 PECOS PAC ID: 0042483471 Enrollment ID: I20111103000431 |
| Provider Name | Paulina J Mancoske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891078549 PECOS PAC ID: 2264605526 Enrollment ID: I20111111000718 |
| Provider Name | Jodit Beyene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073891305 PECOS PAC ID: 5193997914 Enrollment ID: I20111202000595 |
| Provider Name | Almaz Assefaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275830192 PECOS PAC ID: 1456525799 Enrollment ID: I20111220000532 |
| Provider Name | Marjorie A.r. Mascarinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174713663 PECOS PAC ID: 3274614847 Enrollment ID: I20120328000171 |
| Provider Name | Deborah Ann Palley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598039349 PECOS PAC ID: 0345402731 Enrollment ID: I20120501000481 |
| Provider Name | Kathleen A Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245270818 PECOS PAC ID: 9739147687 Enrollment ID: I20120914000509 |
| Provider Name | Kathryn D Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316295694 PECOS PAC ID: 5496902983 Enrollment ID: I20120918000497 |
| Provider Name | Larkin E Muncaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306195839 PECOS PAC ID: 3971751553 Enrollment ID: I20121012000833 |
| Provider Name | Santha K Allagadda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013297696 PECOS PAC ID: 7416107842 Enrollment ID: I20121022000110 |
| Provider Name | Cristina J Lange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417205022 PECOS PAC ID: 9931358397 Enrollment ID: I20121108000330 |
| Provider Name | Wendy Lucy N Ngassa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215212709 PECOS PAC ID: 9032196407 Enrollment ID: I20130118000310 |
| Provider Name | Lottie S Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851637318 PECOS PAC ID: 8628222015 Enrollment ID: I20130225000224 |
| Provider Name | Sheron N Whirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750621686 PECOS PAC ID: 1052557816 Enrollment ID: I20130423000462 |
| Provider Name | Erika J Corry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104100791 PECOS PAC ID: 9739346388 Enrollment ID: I20130627000000 |
| Provider Name | Carole L Shultis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396184198 PECOS PAC ID: 5395988372 Enrollment ID: I20130822000067 |
| Provider Name | Sharon L Pemberton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407288624 PECOS PAC ID: 7113160441 Enrollment ID: I20130925000354 |
| Provider Name | Angela J Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467889444 PECOS PAC ID: 2466688015 Enrollment ID: I20131217000802 |
| Provider Name | Frouzan Kabiri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336577972 PECOS PAC ID: 3971730656 Enrollment ID: I20131230001917 |
| Provider Name | Warren V Via |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578509022 PECOS PAC ID: 0941273361 Enrollment ID: I20140121002043 |
| Provider Name | Rosemary Clara Nzeogu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124316435 PECOS PAC ID: 0345336327 Enrollment ID: I20140507000048 |
| Provider Name | Hilary J Summers-royce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174954697 PECOS PAC ID: 4587887229 Enrollment ID: I20140609001839 |
| Provider Name | Hamdi A Hagiyusuf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023435989 PECOS PAC ID: 9436373404 Enrollment ID: I20140612001694 |
| Provider Name | Rebekah M King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043539505 PECOS PAC ID: 1850515602 Enrollment ID: I20140617001790 |
| Provider Name | Lindsay S Witte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609283449 PECOS PAC ID: 2668691288 Enrollment ID: I20141002000827 |
| Provider Name | Madeline K Staley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194133363 PECOS PAC ID: 1254550841 Enrollment ID: I20141013001619 |
| Provider Name | Hae Eun Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093124737 PECOS PAC ID: 5193945855 Enrollment ID: I20141027002188 |
| Provider Name | Anna M Hembrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770992844 PECOS PAC ID: 4183845696 Enrollment ID: I20141125002000 |
| Provider Name | Ellen N Iduma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417350018 PECOS PAC ID: 3072836345 Enrollment ID: I20141218001060 |
| Provider Name | Stephanie M Rutherford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427309855 PECOS PAC ID: 5496909848 Enrollment ID: I20141231002069 |
| Provider Name | Jennifer Dietrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821496720 PECOS PAC ID: 5597089185 Enrollment ID: I20150211001615 |
| Provider Name | Abigail Boatey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639572399 PECOS PAC ID: 7911229091 Enrollment ID: I20150223001355 |
| Provider Name | Irene W Kiragu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891996211 PECOS PAC ID: 3678899713 Enrollment ID: I20150316002065 |
| Provider Name | Yeganeh Jalaeian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578957726 PECOS PAC ID: 2769701127 Enrollment ID: I20150616000720 |
| Provider Name | Taryn C Thibeault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295935559 PECOS PAC ID: 7315259801 Enrollment ID: I20150804003350 |
| Provider Name | Lauren C Chong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265821508 PECOS PAC ID: 4082928809 Enrollment ID: I20150925002561 |
| Provider Name | Anna G Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811370018 PECOS PAC ID: 7416262829 Enrollment ID: I20150926000213 |
| Provider Name | Anissa M Ben Aida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700112596 PECOS PAC ID: 3577699735 Enrollment ID: I20151118001976 |
| Provider Name | Renee L Keast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194125583 PECOS PAC ID: 0345560496 Enrollment ID: I20151130001518 |
| Provider Name | Bethany K Morrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679945653 PECOS PAC ID: 5890095111 Enrollment ID: I20151210002583 |
| Provider Name | Lakeia S Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417325077 PECOS PAC ID: 4183924210 Enrollment ID: I20151211000000 |
| Provider Name | Sarah K Workman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639554710 PECOS PAC ID: 0143521971 Enrollment ID: I20151219000028 |
| Provider Name | Sara Marie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588036461 PECOS PAC ID: 9436450632 Enrollment ID: I20160114000341 |
| Provider Name | Kedest Gebreselassie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265897391 PECOS PAC ID: 0941503932 Enrollment ID: I20160126000557 |
| Provider Name | Tu M Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639544729 PECOS PAC ID: 8820393564 Enrollment ID: I20160315002842 |
| Provider Name | Kimberly S Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851750988 PECOS PAC ID: 8022314285 Enrollment ID: I20160426000212 |
| Provider Name | Leslie E Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891155636 PECOS PAC ID: 6901105212 Enrollment ID: I20160506001896 |
| Provider Name | Simonsea Fannings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417314105 PECOS PAC ID: 9234429788 Enrollment ID: I20160613000714 |
| Provider Name | Rezvan Heidari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467811646 PECOS PAC ID: 3971893280 Enrollment ID: I20160707001983 |
| Provider Name | Susan E Ferrandino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265844880 PECOS PAC ID: 1557654225 Enrollment ID: I20160822001266 |
| Provider Name | Stacey L Mcandrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831588516 PECOS PAC ID: 9931427770 Enrollment ID: I20160823001991 |
| Provider Name | Regena L Geho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316395916 PECOS PAC ID: 8123312477 Enrollment ID: I20160906000822 |
| Provider Name | Nitnoy K Badgley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194844951 PECOS PAC ID: 3577580521 Enrollment ID: I20160909001359 |
| Provider Name | April Vannoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548611916 PECOS PAC ID: 2163719154 Enrollment ID: I20160919001675 |
| Provider Name | Phyllis Thornton Waggoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831542190 PECOS PAC ID: 5395032536 Enrollment ID: I20161003000375 |
| Provider Name | Angela Saathoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265732515 PECOS PAC ID: 4284812181 Enrollment ID: I20161024000005 |
| Provider Name | Britton Balzhiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023563285 PECOS PAC ID: 4183912983 Enrollment ID: I20161103002410 |
| Provider Name | Verlecia L Self |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255885638 PECOS PAC ID: 9931488020 Enrollment ID: I20161213001390 |
| Provider Name | Jiyeong Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669718037 PECOS PAC ID: 2264676303 Enrollment ID: I20170213002413 |
| Provider Name | Katherine Liias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578011870 PECOS PAC ID: 7315221348 Enrollment ID: I20170327000639 |
| Provider Name | Cinthia A Lyvers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235585613 PECOS PAC ID: 0648557744 Enrollment ID: I20170427000377 |
| Provider Name | Joyce Ndagire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689126294 PECOS PAC ID: 9436433398 Enrollment ID: I20170504000684 |
| Provider Name | Candace S Hembrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265978571 PECOS PAC ID: 9931486024 Enrollment ID: I20170519001860 |
| Provider Name | Bilen Tsegaye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821537580 PECOS PAC ID: 1557648680 Enrollment ID: I20170524002396 |
| Provider Name | Eva Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295260941 PECOS PAC ID: 4082982764 Enrollment ID: I20170725003292 |
| Provider Name | Stacey M Lester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164977039 PECOS PAC ID: 5799056883 Enrollment ID: I20170808002829 |
| Provider Name | Chandra T Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053849679 PECOS PAC ID: 1052686557 Enrollment ID: I20171010001040 |
| Provider Name | Pearl M Lockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396056230 PECOS PAC ID: 0345514949 Enrollment ID: I20171010001236 |
| Provider Name | Deanna Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598103129 PECOS PAC ID: 6800152760 Enrollment ID: I20171108002670 |
| Provider Name | Kathleen M Mckeever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659898617 PECOS PAC ID: 5991061632 Enrollment ID: I20171117001454 |
| Provider Name | Nyeesha N Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962861773 PECOS PAC ID: 3577852128 Enrollment ID: I20171208001139 |
| Provider Name | Sherika A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891234886 PECOS PAC ID: 8628336450 Enrollment ID: I20180108001766 |
| Provider Name | Oluwaseyi O Banjo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356838536 PECOS PAC ID: 4587929450 Enrollment ID: I20180713001990 |
| Provider Name | Delvenia Twon Kilyofas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770087751 PECOS PAC ID: 1355690694 Enrollment ID: I20180821001090 |
| Provider Name | Beth Carlton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346727591 PECOS PAC ID: 6709136567 Enrollment ID: I20181126001035 |
| Provider Name | Erin N Cosentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962810200 PECOS PAC ID: 6608097340 Enrollment ID: I20181210001420 |
| Provider Name | Hannah P Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740751452 PECOS PAC ID: 6103163316 Enrollment ID: I20190301002470 |
| Provider Name | Wendy Hendrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033699293 PECOS PAC ID: 5597004879 Enrollment ID: I20190304002467 |
| Provider Name | Angela Fasanella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043768682 PECOS PAC ID: 9234427709 Enrollment ID: I20190401000093 |
| Provider Name | Marilyn Rankin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952606303 PECOS PAC ID: 7012257264 Enrollment ID: I20190403000019 |
| Provider Name | Nicole L Rindone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750838884 PECOS PAC ID: 7012296734 Enrollment ID: I20190422001081 |
| Provider Name | Chelsea P Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508369877 PECOS PAC ID: 0143554345 Enrollment ID: I20190731001607 |
| Provider Name | Tamara C Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508330234 PECOS PAC ID: 2062740228 Enrollment ID: I20190826002642 |
| Provider Name | Yen Hoang Tang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629630413 PECOS PAC ID: 8224366448 Enrollment ID: I20190827001201 |
| Provider Name | Courtney Harless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275998486 PECOS PAC ID: 9335443902 Enrollment ID: I20190913001291 |
| Provider Name | Chirag Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154974988 PECOS PAC ID: 3678802022 Enrollment ID: I20191015003675 |
| Provider Name | Elizabeth Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326609553 PECOS PAC ID: 5395072516 Enrollment ID: I20191016001535 |
| Provider Name | Kristen M Sutphin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033767124 PECOS PAC ID: 5294065702 Enrollment ID: I20191017001848 |
| Provider Name | Jee Hye Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538602313 PECOS PAC ID: 3375873383 Enrollment ID: I20191022003933 |
| Provider Name | Margaret Ellen Willoughby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407400310 PECOS PAC ID: 2860722725 Enrollment ID: I20191024001792 |
| Provider Name | Sydney Rockwell Hanabury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174001366 PECOS PAC ID: 7911239660 Enrollment ID: I20191029003019 |
| Provider Name | Shaleyna N Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780231647 PECOS PAC ID: 2163753195 Enrollment ID: I20191031002356 |
| Provider Name | Tanya H Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538716758 PECOS PAC ID: 7012249337 Enrollment ID: I20191105002871 |
| Provider Name | Marie G Kaufmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447805510 PECOS PAC ID: 0547591760 Enrollment ID: I20191113001975 |
| Provider Name | Laila Bayat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821644873 PECOS PAC ID: 2961733134 Enrollment ID: I20191114002981 |
| Provider Name | Jeanne M Orzano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629444088 PECOS PAC ID: 5294043469 Enrollment ID: I20191125001882 |
| Provider Name | Barbara Szita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053611459 PECOS PAC ID: 1759528508 Enrollment ID: I20191228000138 |
| Provider Name | Amelia N Bazzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386294262 PECOS PAC ID: 4183057334 Enrollment ID: I20200102002415 |
| Provider Name | Kara Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194375972 PECOS PAC ID: 3971937582 Enrollment ID: I20200107000412 |
| Provider Name | Zhenxia Shuai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811544240 PECOS PAC ID: 4587099064 Enrollment ID: I20200109001994 |
| Provider Name | Kelly A Martic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164068250 PECOS PAC ID: 0143655449 Enrollment ID: I20200114003620 |
| Provider Name | Jeanefer Grantham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376187385 PECOS PAC ID: 8527493782 Enrollment ID: I20200115002626 |
| Provider Name | Elizabeth M Early |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063058816 PECOS PAC ID: 6204262710 Enrollment ID: I20200218001088 |
| Provider Name | Rachel M Bruner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508332594 PECOS PAC ID: 9032454756 Enrollment ID: I20200219001598 |
| Provider Name | Antonio Seymour Hamlette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225674179 PECOS PAC ID: 6204261969 Enrollment ID: I20200227002588 |
| Provider Name | Hilina Yelma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073158150 PECOS PAC ID: 6103252390 Enrollment ID: I20200312001904 |
| Provider Name | Leontyne Bostick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376186635 PECOS PAC ID: 8527494723 Enrollment ID: I20200318002509 |
| Provider Name | Clementine Sekyere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588290894 PECOS PAC ID: 6608205000 Enrollment ID: I20200407000447 |
| Provider Name | Agnieszka Habura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134759830 PECOS PAC ID: 2961830773 Enrollment ID: I20200421001807 |
| Provider Name | Noor Wali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710510243 PECOS PAC ID: 7517397292 Enrollment ID: I20200506002011 |
| Provider Name | Priya Bhattarai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134753007 PECOS PAC ID: 1759712565 Enrollment ID: I20200522001771 |
| Provider Name | Lietzle A Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184199598 PECOS PAC ID: 6406277615 Enrollment ID: I20200526001643 |
| Provider Name | Rahel Mebrahtu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891235842 PECOS PAC ID: 0345661328 Enrollment ID: I20200610000153 |
| Provider Name | Heather Hae Young Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790306645 PECOS PAC ID: 8022431501 Enrollment ID: I20200714003156 |
| Provider Name | Mindy Rene Prescott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700405230 PECOS PAC ID: 2860817335 Enrollment ID: I20200730002127 |
| Provider Name | Suin Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952922163 PECOS PAC ID: 8921422486 Enrollment ID: I20200730002358 |
| Provider Name | Grace Soistman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275150518 PECOS PAC ID: 5597182253 Enrollment ID: I20200910002480 |
| Provider Name | Shikha Mudgil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144792441 PECOS PAC ID: 0547689523 Enrollment ID: I20201001001202 |
| Provider Name | Supansa Kitjaroen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881203495 PECOS PAC ID: 0648699462 Enrollment ID: I20201008003274 |
| Provider Name | Samantha Blakeslee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750990511 PECOS PAC ID: 7416376215 Enrollment ID: I20201009000712 |
| Provider Name | Holly Blum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376152033 PECOS PAC ID: 3375962772 Enrollment ID: I20201014001141 |
| Provider Name | Alexander U Ukaoma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982060083 PECOS PAC ID: 8729377684 Enrollment ID: I20201016001346 |
| Provider Name | Chanel N Tinsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659992915 PECOS PAC ID: 2264501055 Enrollment ID: I20201028000317 |
| Provider Name | Khudsiatu Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831707488 PECOS PAC ID: 4587074455 Enrollment ID: I20201104000589 |
| Provider Name | Zeina Al Saadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790394492 PECOS PAC ID: 2163842303 Enrollment ID: I20201111001418 |
| Provider Name | Danushca Pardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326433061 PECOS PAC ID: 9537430822 Enrollment ID: I20201207001890 |
| Provider Name | Heather E Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306309570 PECOS PAC ID: 2062824303 Enrollment ID: I20201210002120 |
| Provider Name | Angelina Leve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447867718 PECOS PAC ID: 4385057629 Enrollment ID: I20210106001837 |
| Provider Name | Lana Marie Basto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164925343 PECOS PAC ID: 8123431251 Enrollment ID: I20210114000191 |
| Provider Name | Abigail L Vanderweyden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013527662 PECOS PAC ID: 4880007764 Enrollment ID: I20210114002298 |
| Provider Name | Pawanpreet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861017972 PECOS PAC ID: 1557775418 Enrollment ID: I20210209002055 |
| Provider Name | Jordan Dail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851992614 PECOS PAC ID: 2466867742 Enrollment ID: I20210226000407 |
| Provider Name | Leanna Lynn Plumb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295346039 PECOS PAC ID: 7618383613 Enrollment ID: I20210316001857 |
| Provider Name | Omobolanle M Adenuga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336796465 PECOS PAC ID: 6800225533 Enrollment ID: I20210324002695 |
| Provider Name | Julia Higginbotham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366032757 PECOS PAC ID: 8224445960 Enrollment ID: I20210325001298 |
| Provider Name | Elisabeth Benham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669069084 PECOS PAC ID: 4688081334 Enrollment ID: I20210325002639 |
| Provider Name | Judith Whajah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134726185 PECOS PAC ID: 4183031735 Enrollment ID: I20210326002080 |
| Provider Name | Carole Nguekam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518509488 PECOS PAC ID: 4587071139 Enrollment ID: I20210326002276 |
| Provider Name | Ashlei J Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801494695 PECOS PAC ID: 9638584758 Enrollment ID: I20210329000466 |
| Provider Name | Kelsey L Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881296986 PECOS PAC ID: 9537578448 Enrollment ID: I20210505002414 |
| Provider Name | Beverly A Capili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497264253 PECOS PAC ID: 9931465432 Enrollment ID: I20210601001276 |
| Provider Name | Nicole Oakes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700479235 PECOS PAC ID: 5193124220 Enrollment ID: I20210604002457 |
| Provider Name | Amanda Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699364638 PECOS PAC ID: 0446650733 Enrollment ID: I20210622003437 |
| Provider Name | Laura Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770149726 PECOS PAC ID: 2567871080 Enrollment ID: I20210628001266 |
| Provider Name | Fithawit Ghebru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407487747 PECOS PAC ID: 0244661924 Enrollment ID: I20210729003717 |
| Provider Name | Titilayo Raji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922647916 PECOS PAC ID: 7911302559 Enrollment ID: I20210820000821 |
| Provider Name | Tammy D Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518105212 PECOS PAC ID: 1254498413 Enrollment ID: I20210824002912 |
| Provider Name | Lydia Yilma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215527544 PECOS PAC ID: 0749687655 Enrollment ID: I20210920002671 |
| Provider Name | Sololia Debela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730660267 PECOS PAC ID: 7315344702 Enrollment ID: I20211006001953 |
| Provider Name | Nkechi Onwuemene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164052262 PECOS PAC ID: 8123424728 Enrollment ID: I20211020002076 |
| Provider Name | Hermon Mesfin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760157374 PECOS PAC ID: 9739577545 Enrollment ID: I20211028000416 |
| Provider Name | Kayla M Magnone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780007377 PECOS PAC ID: 1658595343 Enrollment ID: I20211104002161 |
| Provider Name | Chelsea Portillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376151662 PECOS PAC ID: 0042609018 Enrollment ID: I20211112000384 |
| Provider Name | Jade Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225629785 PECOS PAC ID: 2860800281 Enrollment ID: I20211116000826 |
| Provider Name | Geraldine Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699241521 PECOS PAC ID: 5890184014 Enrollment ID: I20211116001729 |
| Provider Name | Jessica Lynn Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306427240 PECOS PAC ID: 3779972591 Enrollment ID: I20211118001696 |
| Provider Name | Meagan C Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346823697 PECOS PAC ID: 9830588904 Enrollment ID: I20211118003197 |
| Provider Name | Kaitlyn Sugden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821661943 PECOS PAC ID: 4486051737 Enrollment ID: I20211119000767 |
| Provider Name | Dana Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457903205 PECOS PAC ID: 2062802390 Enrollment ID: I20211202002071 |
| Provider Name | Gifty N Sey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083227847 PECOS PAC ID: 7810387156 Enrollment ID: I20211206000785 |
| Provider Name | Kathleen M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861027682 PECOS PAC ID: 1456777358 Enrollment ID: I20211206001993 |
| Provider Name | Olachi C Nwachukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750914743 PECOS PAC ID: 3678963816 Enrollment ID: I20211208002131 |
| Provider Name | Moazma Shahid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750936944 PECOS PAC ID: 8921435363 Enrollment ID: I20211208003282 |
| Provider Name | Cydney Elise Quick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366032468 PECOS PAC ID: 1052701059 Enrollment ID: I20211214001427 |
| Provider Name | Hala D Mata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003583014 PECOS PAC ID: 4385034073 Enrollment ID: I20211214001999 |
| Provider Name | Alexis Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992398051 PECOS PAC ID: 0941699250 Enrollment ID: I20211214002380 |
| Provider Name | Walaa K Fayek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174190813 PECOS PAC ID: 7911397856 Enrollment ID: I20211214002435 |
| Provider Name | Jemima M Desir Telus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770155491 PECOS PAC ID: 4082004924 Enrollment ID: I20211216000073 |
| Provider Name | Caitlin Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730531187 PECOS PAC ID: 0749578045 Enrollment ID: I20211216002771 |
| Provider Name | Thorayia Maraheel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396411088 PECOS PAC ID: 4880084797 Enrollment ID: I20211217001183 |
| Provider Name | Shaquita Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659861961 PECOS PAC ID: 1153711775 Enrollment ID: I20211220001384 |
| Provider Name | Megan Goodrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932714912 PECOS PAC ID: 4981015567 Enrollment ID: I20211229000427 |
| Provider Name | Renee Hadeed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114454196 PECOS PAC ID: 7810269263 Enrollment ID: I20211229000997 |
| Provider Name | Lindsey Delew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376910570 PECOS PAC ID: 0941500433 Enrollment ID: I20211230001215 |
| Provider Name | Beth Pippin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154815199 PECOS PAC ID: 6800287269 Enrollment ID: I20220103001049 |
| Provider Name | Sarah Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851588891 PECOS PAC ID: 3577620335 Enrollment ID: I20220120000228 |
| Provider Name | Bridgette Monique Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942317557 PECOS PAC ID: 9537246889 Enrollment ID: I20220203001505 |
| Provider Name | Jennifer Bucknam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295402261 PECOS PAC ID: 8729471461 Enrollment ID: I20220209002642 |
| Provider Name | Erika Visinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528537172 PECOS PAC ID: 2466844063 Enrollment ID: I20220217002379 |
| Provider Name | Allyson Bess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508535410 PECOS PAC ID: 9032502174 Enrollment ID: I20220218000843 |
| Provider Name | Katherine W Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285300681 PECOS PAC ID: 3577956614 Enrollment ID: I20220224002662 |
| Provider Name | Jessica V Balagtas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023575255 PECOS PAC ID: 4587057625 Enrollment ID: I20220224002833 |
| Provider Name | Janice Oh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952935777 PECOS PAC ID: 9537598552 Enrollment ID: I20220228002696 |
| Provider Name | Melissa L Burrows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316298664 PECOS PAC ID: 0042579468 Enrollment ID: I20220408002324 |
| Provider Name | Michelle Pyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922769447 PECOS PAC ID: 1052707601 Enrollment ID: I20220419002607 |
| Provider Name | Minhthu Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912521840 PECOS PAC ID: 9537556634 Enrollment ID: I20220502002049 |
| Provider Name | Catriona Timpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447917588 PECOS PAC ID: 9931596475 Enrollment ID: I20220519002095 |
| Provider Name | Nishi H Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821435876 PECOS PAC ID: 1052620465 Enrollment ID: I20220711001932 |
| Provider Name | Gretchen Carter Bronson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467192682 PECOS PAC ID: 5092195743 Enrollment ID: I20220712001363 |
| Provider Name | Felicia T Pinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326615709 PECOS PAC ID: 8820489776 Enrollment ID: I20220801001887 |
| Provider Name | Ashesh Parikh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003080375 PECOS PAC ID: 4385776939 Enrollment ID: I20220826001959 |
| Provider Name | Dominique Bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679246441 PECOS PAC ID: 1759786114 Enrollment ID: I20220902002084 |
| Provider Name | Molly M Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285975961 PECOS PAC ID: 8921245598 Enrollment ID: I20220912003830 |
| Provider Name | Jessica Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316228646 PECOS PAC ID: 0143492934 Enrollment ID: I20220913003967 |
| Provider Name | Sapna Makhijani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114569951 PECOS PAC ID: 5991138042 Enrollment ID: I20220914001705 |
| Provider Name | Elizabeth Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699301408 PECOS PAC ID: 2668893496 Enrollment ID: I20220914003408 |
| Provider Name | Laurie Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023435831 PECOS PAC ID: 8224251418 Enrollment ID: I20220915003078 |
| Provider Name | Rinsy Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639813835 PECOS PAC ID: 5294119517 Enrollment ID: I20220919003196 |
| Provider Name | Kathryn Roush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114395423 PECOS PAC ID: 6103126024 Enrollment ID: I20220922003030 |
| Provider Name | Karren Agyekum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508296542 PECOS PAC ID: 1557598653 Enrollment ID: I20220926003508 |
| Provider Name | Alisha Vernacchio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225558687 PECOS PAC ID: 1153681077 Enrollment ID: I20220928001590 |
| Provider Name | Sierra Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659864593 PECOS PAC ID: 5991054447 Enrollment ID: I20221018003460 |
| Provider Name | Karen Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124593868 PECOS PAC ID: 7719222140 Enrollment ID: I20221021002595 |
| Provider Name | Michele Corrice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821085143 PECOS PAC ID: 0244243400 Enrollment ID: I20221025003469 |
| Provider Name | Nicole Papel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790329720 PECOS PAC ID: 4082040258 Enrollment ID: I20221103000105 |
| Provider Name | Rebecca Thomlinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215477179 PECOS PAC ID: 2961789433 Enrollment ID: I20221104001034 |
| Provider Name | Jaclyn Shoemaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295257673 PECOS PAC ID: 5193098010 Enrollment ID: I20221212002800 |
| Provider Name | Robert James Beto |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346309267 PECOS PAC ID: 5890735021 Enrollment ID: I20221217000417 |
| Provider Name | Teresa Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720667033 PECOS PAC ID: 9133598873 Enrollment ID: I20221220000354 |
| Provider Name | Abayneh Weldetsadik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790011591 PECOS PAC ID: 1951770106 Enrollment ID: I20221220002155 |
| Provider Name | Adwoa A Ansu-anin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154043321 PECOS PAC ID: 7113396250 Enrollment ID: I20221220002826 |
| Provider Name | Kanwaljit Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649926791 PECOS PAC ID: 8527438209 Enrollment ID: I20221222000319 |
| Provider Name | Chinwendu U Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881945319 PECOS PAC ID: 3173773975 Enrollment ID: I20221222001511 |
| Provider Name | Sarmi C Pillai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235859604 PECOS PAC ID: 9436528395 Enrollment ID: I20230103000465 |
| Provider Name | Amaya Edge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053943647 PECOS PAC ID: 8628485422 Enrollment ID: I20230130000767 |
| Provider Name | Angel Dove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962126961 PECOS PAC ID: 4183096738 Enrollment ID: I20230222002195 |
| Provider Name | Cathryn Belviso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467109058 PECOS PAC ID: 9234502030 Enrollment ID: I20230301002729 |
| Provider Name | Rachel Allani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588380729 PECOS PAC ID: 4981077963 Enrollment ID: I20230302002253 |
| Provider Name | Madylyn Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548984685 PECOS PAC ID: 0941673883 Enrollment ID: I20230303001568 |
| Provider Name | Samantha Tonon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609525914 PECOS PAC ID: 3779956693 Enrollment ID: I20230310002385 |
| Provider Name | Morgan Capstick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447974357 PECOS PAC ID: 3274906094 Enrollment ID: I20230320001457 |
| Provider Name | Hilary Karabin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801172184 PECOS PAC ID: 0446484042 Enrollment ID: I20230331000866 |
| Provider Name | Alexandra Norrlof |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417682733 PECOS PAC ID: 1254705288 Enrollment ID: I20230331001250 |
| Provider Name | Maria Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538872577 PECOS PAC ID: 1153796339 Enrollment ID: I20230412001346 |
| Provider Name | Takisha Barone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437857547 PECOS PAC ID: 7911372206 Enrollment ID: I20230419002350 |
| Provider Name | Kristen Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770280497 PECOS PAC ID: 3375918741 Enrollment ID: I20230424001030 |
| Provider Name | Magdalene Mccormack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568179802 PECOS PAC ID: 0547635914 Enrollment ID: I20230426003103 |
| Provider Name | Tiffany Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376244657 PECOS PAC ID: 0749645232 Enrollment ID: I20230519002621 |
| Provider Name | Meseret Bulcha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861118473 PECOS PAC ID: 4486010188 Enrollment ID: I20230524000484 |
| Provider Name | Cody Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558059626 PECOS PAC ID: 0648636191 Enrollment ID: I20230525001789 |
| Provider Name | Lee Ann Chambliss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932800901 PECOS PAC ID: 7719344977 Enrollment ID: I20230609002069 |
| Provider Name | Kierra Holiday |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134787757 PECOS PAC ID: 0143552729 Enrollment ID: I20230609002952 |
| Provider Name | Rebecca Gonce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770280380 PECOS PAC ID: 0547628133 Enrollment ID: I20230623001667 |
| Provider Name | Deepika Shrestha Rajbhandary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023718921 PECOS PAC ID: 1951768985 Enrollment ID: I20230623002691 |
| Provider Name | Ebony N Calloway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467987974 PECOS PAC ID: 5294002549 Enrollment ID: I20230711004585 |
| Provider Name | Alexandra Eckert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285357806 PECOS PAC ID: 1355701004 Enrollment ID: I20230713001893 |
| Provider Name | Sharmila Ojha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083316202 PECOS PAC ID: 5597124057 Enrollment ID: I20230720002840 |
| Provider Name | Nirmala Dhungana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053905950 PECOS PAC ID: 2860883881 Enrollment ID: I20230912003890 |
| Provider Name | Andrea Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699255091 PECOS PAC ID: 0547514846 Enrollment ID: I20230921002797 |
| Provider Name | Tracy Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457134991 PECOS PAC ID: 9032565940 Enrollment ID: I20231031001843 |
| Provider Name | Sophonie M Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134836828 PECOS PAC ID: 5092185140 Enrollment ID: I20231128000618 |
| Provider Name | Anja Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063196582 PECOS PAC ID: 9032568308 Enrollment ID: I20231227001892 |
| Provider Name | Saba Feseha Gebreabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932973435 PECOS PAC ID: 1557711850 Enrollment ID: I20240112002803 |
| Provider Name | Jill Kocanyar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376083444 PECOS PAC ID: 2769835081 Enrollment ID: I20240205000625 |
| Provider Name | Christine Dimino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508374273 PECOS PAC ID: 0941561070 Enrollment ID: I20240214000545 |
| Provider Name | Lois Corazzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992570428 PECOS PAC ID: 1658714332 Enrollment ID: I20240305000999 |
| Provider Name | Ryan Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417493867 PECOS PAC ID: 8921373168 Enrollment ID: I20240319001627 |
| Provider Name | Adjoa B Agyekum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588345045 PECOS PAC ID: 1759726508 Enrollment ID: I20240319002086 |
| Provider Name | Lisa Vo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558138107 PECOS PAC ID: 4082067897 Enrollment ID: I20240325002852 |
| Provider Name | Chanel Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225898380 PECOS PAC ID: 5991146771 Enrollment ID: I20240522003330 |
| Provider Name | Angelica Kinane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629836309 PECOS PAC ID: 7012359441 Enrollment ID: I20240604000247 |
| Provider Name | Seth Astorino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255762365 PECOS PAC ID: 1254560998 Enrollment ID: I20240606003714 |
| Provider Name | Michelle Enyinnaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629820279 PECOS PAC ID: 8628410958 Enrollment ID: I20240612002513 |
Leesburg Community Church Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 Lee Ave Sw Ste B, Leesburg, VA 20175 Phone: 703-777-2209 | |
Behavioral Solutions Assessment Consulting Services Of Virginia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Industrial Ct Se, Leesburg, VA 20175 Phone: 703-669-4878 Fax: 703-669-4878 | |
Inova Loudoun Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 224 Cornwall St Nw # B, Leesburg, VA 20176 Phone: 703-771-2060 Fax: 703-771-2110 | |
Grafton, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Childrens Center Rd Sw, Leesburg, VA 20175 Phone: 703-777-3485 Fax: 703-777-4887 | |
Behavioral Momentum, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 574 Edmonton Ter Ne, Leesburg, VA 20176 Phone: 443-540-0120 | |
Northern Lights Psychotherapy Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 222 Catoctin Cir Se Ste 126, Leesburg, VA 20175 Phone: 571-477-1613 | |
Sageforth Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 552 Fort Evans Rd Ste 206, Leesburg, VA 20176 Phone: 703-777-7755 |