| Atlantic Knee Restoration & Regenerative Medicine - Alexandria | |
|
1800 N Beauregard St Ste 101 Alexandria VA 22311-1726 | |
| (256) 302-2228 | |
| Not Available |
| Full Name | Atlantic Knee Restoration & Regenerative Medicine - Alexandria |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1800 N Beauregard St Ste 101, Alexandria, Virginia |
| Authorized Official Name and Position | Robert Crittenden (OWNER) |
| Authorized Official Contact | 2563022228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Knee Restoration & Regenerative Medicine - Alexandria 1800 N Beauregard St Ste 101 Alexandria VA 22311-1726 Ph: (256) 302-2228 | Atlantic Knee Restoration & Regenerative Medicine - Alexandria 1800 N Beauregard St Ste 101 Alexandria VA 22311-1726 Ph: (256) 302-2228 |
| NPI Number | 1598335606 |
|---|---|
| Provider Enumeration Date | 06/30/2021 |
| Last Update Date | 07/07/2022 |
| Medicare PECOS PAC ID | 3274937511 |
|---|---|
| Medicare Enrollment ID | O20210809000994 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598335606 | NPI | - | NPPES |
| Provider Name | Darlene Lynette Jones |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184771891 PECOS PAC ID: 0345272621 Enrollment ID: I20140905001657 |
| Provider Name | Samantha Lynn Del Riego |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780219527 PECOS PAC ID: 6608296264 Enrollment ID: I20201020002190 |
| Provider Name | Nicole Herberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811560972 PECOS PAC ID: 4385049121 Enrollment ID: I20210902001645 |
| Provider Name | Lauren Alison Kerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447916036 PECOS PAC ID: 3274924949 Enrollment ID: I20220107000402 |
| Provider Name | Kristi M Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952641433 PECOS PAC ID: 6709021934 Enrollment ID: I20230502000646 |
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