| Mrs Amazing-grace Ighedo, | |
| 
					Reston Hospital Center, 607 Herndon Parkway Suite 101, Reston, VA 20171  | |
| (703) 471-0919 | |
| Not Available | 
| Full Name | Mrs Amazing-grace Ighedo | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | Reston Hospital Center, Reston, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508600362 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001309826 (Virginia) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | 0024190753 (Virginia) | Primary | 
| Entity Name | Reston Anesthesia Associates Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1932210093 PECOS PAC ID: 2567361124 Enrollment ID: O20040102000829  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Amazing-grace Ighedo, 23632 Sailfish Sq, Brambleton, VA 20148-7633 Ph: (515) 305-6365  | Mrs Amazing-grace Ighedo, Reston Hospital Center, 607 Herndon Parkway Suite 101, Reston, VA 20171 Ph: (703) 471-0919  | 
Sarah Katharina Jungnitsch,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 Phone: 703-689-9000  | |
John M Young, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1850 Town Center Pkwy, Reston, VA 20190 Phone: 703-471-0919  | |
Amy M Murdock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1850 Town Center Pkwy, Reston, VA 20190 Phone: 703-471-0919  | |
Judith S Carter, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1860 Town Center Pkwy, #g100 Reston Surgery Center, Reston, VA 20190 Phone: 703-471-0919 Fax: 703-742-9081  | |
Mae B Barbera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1850 Town Center Pkwy, Reston, VA 20190 Phone: 703-471-0919 Fax: 703-742-9081  | |
Joette Dorosheff, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1850 Town Center Pkwy, Reston, VA 20190 Phone: 703-471-0919 Fax: 703-742-9081  | |
Kelly L Pashke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1850 Town Center Parkway, Reston Hospital Center, Reston, VA 20190 Phone: 703-471-0919 Fax: 703-742-9081  |