| Nava Health And Vitality Center | |
|
43670 Greeway Corporate Drive Suite 122 Ashburn VA 20147-2104 | |
| (800) 762-6282 | |
| Not Available |
| Full Name | Nava Health And Vitality Center |
|---|---|
| Speciality | Family Medicine |
| Location | 43670 Greeway Corporate Drive, Ashburn, Virginia |
| Authorized Official Name and Position | Tammy Muir (COMPLIANCE OFFICER) |
| Authorized Official Contact | 4109105959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nava Health And Vitality Center 9755 Patuxent Woods Dr Ste 100 Columbia MD 21046-2288 Ph: (800) 762-6282 | Nava Health And Vitality Center 43670 Greeway Corporate Drive Suite 122 Ashburn VA 20147-2104 Ph: (800) 762-6282 |
| NPI Number | 1356077697 |
|---|---|
| Provider Enumeration Date | 07/28/2022 |
| Last Update Date | 12/08/2023 |
| Medicare PECOS PAC ID | 7517366149 |
|---|---|
| Medicare Enrollment ID | O20221228000367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356077697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Narayana Pennington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275200263 PECOS PAC ID: 1951791912 Enrollment ID: I20211206001790 |
| Provider Name | Jennifer Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700868320 PECOS PAC ID: 0749679561 Enrollment ID: I20230111002426 |
| Provider Name | Carl Douglas Lord |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063462349 PECOS PAC ID: 1759447311 Enrollment ID: I20230227001941 |
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