| Virginia Internal Medicine Inc | |
|
41816 Fenway Cir Ashburn VA 20148-8069 | |
| (347) 761-7200 | |
| Not Available |
| Full Name | Virginia Internal Medicine Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 41816 Fenway Cir, Ashburn, Virginia |
| Authorized Official Name and Position | Amr Behiri (OWNER/PRESIDENT) |
| Authorized Official Contact | 3477617200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Internal Medicine Inc 6 E Eager St Baltimore MD 21202-2506 Ph: (410) 835-0009 | Virginia Internal Medicine Inc 41816 Fenway Cir Ashburn VA 20148-8069 Ph: (347) 761-7200 |
| NPI Number | 1740525245 |
|---|---|
| Provider Enumeration Date | 12/10/2012 |
| Last Update Date | 01/29/2026 |
| Certification Date | 01/29/2026 |
| Medicare PECOS PAC ID | 4082869250 |
|---|---|
| Medicare Enrollment ID | O20130220000224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740525245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0102202559 (Virginia) | Primary |
| Provider Name | John Lindbergh |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1396788998 PECOS PAC ID: 1557254778 Enrollment ID: I20040203000463 |
| Provider Name | Nicole a Padmore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932172756 PECOS PAC ID: 9133113038 Enrollment ID: I20040413001204 |
| Provider Name | Danyel Ferguson Rucker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437120318 PECOS PAC ID: 0840279667 Enrollment ID: I20040715000957 |
| Provider Name | Yemisrach Mulugeta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770675829 PECOS PAC ID: 5496720344 Enrollment ID: I20040901001482 |
| Provider Name | Tina Rutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588602536 PECOS PAC ID: 1850340068 Enrollment ID: I20050114000259 |
| Provider Name | Muhammad Ishtiaq Raja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932190451 PECOS PAC ID: 6608899323 Enrollment ID: I20060109000950 |
| Provider Name | Srinivasa C Bokkisam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336158096 PECOS PAC ID: 9537173026 Enrollment ID: I20061130000087 |
| Provider Name | Jill Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235192865 PECOS PAC ID: 6608891486 Enrollment ID: I20061213000174 |
| Provider Name | Kristy L Hayes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578648580 PECOS PAC ID: 4284739814 Enrollment ID: I20070410000438 |
| Provider Name | Valencia R Belle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104832963 PECOS PAC ID: 2466537170 Enrollment ID: I20080305000340 |
| Provider Name | Elizabeth C Lawhon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407819147 PECOS PAC ID: 7416915368 Enrollment ID: I20080603000550 |
| Provider Name | Tae S Chung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417942566 PECOS PAC ID: 4880695212 Enrollment ID: I20081008000455 |
| Provider Name | Marwa Abdelfattah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225251572 PECOS PAC ID: 5193884195 Enrollment ID: I20081105000708 |
| Provider Name | Sharon Andrews |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104159359 PECOS PAC ID: 0547316929 Enrollment ID: I20090928000135 |
| Provider Name | Adam Lunnie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063749984 PECOS PAC ID: 8022153121 Enrollment ID: I20100301000392 |
| Provider Name | Rashid a Mohiuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881627834 PECOS PAC ID: 8123024718 Enrollment ID: I20100519000616 |
| Provider Name | Virginia Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457675720 PECOS PAC ID: 6103957097 Enrollment ID: I20100621000553 |
| Provider Name | Thelma Jane Pealer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326370362 PECOS PAC ID: 9234253790 Enrollment ID: I20100907000092 |
| Provider Name | Crystal S Emore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043526767 PECOS PAC ID: 3779572375 Enrollment ID: I20101210000075 |
| Provider Name | Nicole M Socha-coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396052809 PECOS PAC ID: 9739377672 Enrollment ID: I20101220000799 |
| Provider Name | Linda Ledbetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295977403 PECOS PAC ID: 4880879717 Enrollment ID: I20110503000435 |
| Provider Name | Amr Behiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154588580 PECOS PAC ID: 0749351906 Enrollment ID: I20110512000157 |
| Provider Name | Lubna M Rashid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245377373 PECOS PAC ID: 6002910809 Enrollment ID: I20110524000217 |
| Provider Name | Jan a James |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073824512 PECOS PAC ID: 1759551914 Enrollment ID: I20110825000100 |
| Provider Name | Ahmad Noori |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407874621 PECOS PAC ID: 2860471406 Enrollment ID: I20111205000733 |
| Provider Name | Merissa L Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780845362 PECOS PAC ID: 8325207764 Enrollment ID: I20120305000565 |
| Provider Name | Melissa L Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083988778 PECOS PAC ID: 4587825898 Enrollment ID: I20120413000153 |
| Provider Name | Paul D Johnstone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912983768 PECOS PAC ID: 0749445625 Enrollment ID: I20120626000784 |
| Provider Name | Emerencienne D Yonga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205093705 PECOS PAC ID: 6507927340 Enrollment ID: I20120706000021 |
| Provider Name | Tayseer Aldaghlas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427334747 PECOS PAC ID: 6901051788 Enrollment ID: I20130227000632 |
| Provider Name | Kevin Arp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245584390 PECOS PAC ID: 0840435160 Enrollment ID: I20130314000254 |
| Provider Name | Erin E Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356670541 PECOS PAC ID: 4385821958 Enrollment ID: I20130717000457 |
| Provider Name | Lindsay Carlucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912348541 PECOS PAC ID: 7214161397 Enrollment ID: I20131002000658 |
| Provider Name | Timothy M Amato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518309285 PECOS PAC ID: 6204060270 Enrollment ID: I20131004000452 |
| Provider Name | Jean-marie K Mpoy Kanyinda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700809894 PECOS PAC ID: 2668365933 Enrollment ID: I20140114000063 |
| Provider Name | Daniel James Acevedo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477862696 PECOS PAC ID: 8527257146 Enrollment ID: I20140323000002 |
| Provider Name | Timothy Carroll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891116141 PECOS PAC ID: 6709019326 Enrollment ID: I20140507000088 |
| Provider Name | Adam Wali Hamidi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215241377 PECOS PAC ID: 4587836689 Enrollment ID: I20140730000339 |
| Provider Name | Catherine E Diakiwsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467869834 PECOS PAC ID: 6002034923 Enrollment ID: I20140905000901 |
| Provider Name | Patrisha LM Lultschik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649696295 PECOS PAC ID: 4789801564 Enrollment ID: I20140908002486 |
| Provider Name | Teresa R Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457647976 PECOS PAC ID: 0840419800 Enrollment ID: I20140924001091 |
| Provider Name | Taffae Mayonette Cadeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295048338 PECOS PAC ID: 2163547217 Enrollment ID: I20140925002252 |
| Provider Name | Brooke Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801200357 PECOS PAC ID: 7113147729 Enrollment ID: I20141002001574 |
| Provider Name | Tawnya M Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174932990 PECOS PAC ID: 1052531290 Enrollment ID: I20141009002357 |
| Provider Name | Kirsten L Hinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255615233 PECOS PAC ID: 0446572762 Enrollment ID: I20141122000272 |
| Provider Name | Hoa Huynh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851700678 PECOS PAC ID: 5092935031 Enrollment ID: I20141204001672 |
| Provider Name | Yusuf Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073593885 PECOS PAC ID: 6406860295 Enrollment ID: I20150415002350 |
| Provider Name | Noelle Pierson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982003091 PECOS PAC ID: 4688992621 Enrollment ID: I20150423000633 |
| Provider Name | Sapna Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982903829 PECOS PAC ID: 9335317486 Enrollment ID: I20150617000996 |
| Provider Name | Paul Scanlan |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1760621205 PECOS PAC ID: 1153632658 Enrollment ID: I20150730012293 |
| Provider Name | Angelette G Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760862684 PECOS PAC ID: 1254646870 Enrollment ID: I20150811005868 |
| Provider Name | Keith Iverson Harrop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093080418 PECOS PAC ID: 9931342458 Enrollment ID: I20150909003015 |
| Provider Name | Sarah Kittredge Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538537196 PECOS PAC ID: 1456661859 Enrollment ID: I20151119002477 |
| Provider Name | Fei Han |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669837118 PECOS PAC ID: 1850694423 Enrollment ID: I20160115000024 |
| Provider Name | Tammy S Knick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295107522 PECOS PAC ID: 5496059826 Enrollment ID: I20160205000538 |
| Provider Name | Erin K Nida |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992180038 PECOS PAC ID: 2466757265 Enrollment ID: I20160216001320 |
| Provider Name | Srividya Thotakura |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407220353 PECOS PAC ID: 3274837778 Enrollment ID: I20160301000010 |
| Provider Name | Darya Beheshtin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790072221 PECOS PAC ID: 5092946731 Enrollment ID: I20160412002349 |
| Provider Name | Anne Rodgers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700243284 PECOS PAC ID: 9638478688 Enrollment ID: I20160426002199 |
| Provider Name | Joshua Mcafee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972856250 PECOS PAC ID: 1759680465 Enrollment ID: I20160502001789 |
| Provider Name | Kelley Manahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700218310 PECOS PAC ID: 0042454217 Enrollment ID: I20160518001668 |
| Provider Name | Nassar F Khan |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1396708608 PECOS PAC ID: 3577588128 Enrollment ID: I20160607000317 |
| Provider Name | Donna S Meade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619339975 PECOS PAC ID: 3779873237 Enrollment ID: I20160613000779 |
| Provider Name | Jacqueline L Groff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437504115 PECOS PAC ID: 8325339195 Enrollment ID: I20160627000150 |
| Provider Name | Sundi Elaina Tate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497121982 PECOS PAC ID: 6901105964 Enrollment ID: I20160726001664 |
| Provider Name | Carl Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598135733 PECOS PAC ID: 7416240411 Enrollment ID: I20160728001561 |
| Provider Name | Mallory Sandridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861854572 PECOS PAC ID: 9739473976 Enrollment ID: I20160810001576 |
| Provider Name | Aras Kay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104182559 PECOS PAC ID: 5799905774 Enrollment ID: I20161031002008 |
| Provider Name | Heather C Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508311465 PECOS PAC ID: 3971882366 Enrollment ID: I20161107001637 |
| Provider Name | Andrea Michelle Dunn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689117947 PECOS PAC ID: 8426330978 Enrollment ID: I20170118002428 |
| Provider Name | Vanessa P Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902348121 PECOS PAC ID: 3971885096 Enrollment ID: I20170126000137 |
| Provider Name | Courtney M Moreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013468347 PECOS PAC ID: 9234412891 Enrollment ID: I20170207000291 |
| Provider Name | Matthew Muri |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063763654 PECOS PAC ID: 5698087559 Enrollment ID: I20170316000533 |
| Provider Name | Tele L Da-silveira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497294169 PECOS PAC ID: 1759667553 Enrollment ID: I20170418002792 |
| Provider Name | Keisha Q James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235660655 PECOS PAC ID: 8123395282 Enrollment ID: I20170522002081 |
| Provider Name | Melissa Wallace Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770019523 PECOS PAC ID: 9133492309 Enrollment ID: I20170911000780 |
| Provider Name | Jenna Hurt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750808085 PECOS PAC ID: 6800161373 Enrollment ID: I20171010000001 |
| Provider Name | Brandi Covil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841713708 PECOS PAC ID: 7012282221 Enrollment ID: I20171013000486 |
| Provider Name | Gina L Varner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033655741 PECOS PAC ID: 2163798307 Enrollment ID: I20171016003187 |
| Provider Name | Janine N Prime |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669996062 PECOS PAC ID: 7315213444 Enrollment ID: I20171018000161 |
| Provider Name | Mildred J Medrano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295253102 PECOS PAC ID: 2365708021 Enrollment ID: I20171129000260 |
| Provider Name | Kathy Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295287639 PECOS PAC ID: 4284919218 Enrollment ID: I20180109002240 |
| Provider Name | Lauren Joanna Jost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669620084 PECOS PAC ID: 4587841556 Enrollment ID: I20180129000932 |
| Provider Name | Scott Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710400999 PECOS PAC ID: 1557621133 Enrollment ID: I20180130000479 |
| Provider Name | Rachel B Frisk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770001075 PECOS PAC ID: 0345500716 Enrollment ID: I20180202000439 |
| Provider Name | Martha I Morolari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003327420 PECOS PAC ID: 9032471271 Enrollment ID: I20180327002963 |
| Provider Name | Christopher C Coulter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487166088 PECOS PAC ID: 2163784141 Enrollment ID: I20180403002221 |
| Provider Name | Kimberly Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285157396 PECOS PAC ID: 9931462744 Enrollment ID: I20180430000129 |
| Provider Name | Delvenia Twon Kilyofas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770087751 PECOS PAC ID: 1355690694 Enrollment ID: I20180821001090 |
| Provider Name | Temeka Shavonne Hathaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346739141 PECOS PAC ID: 2567713191 Enrollment ID: I20180920003136 |
| Provider Name | Hannah Goodman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477891091 PECOS PAC ID: 9830334630 Enrollment ID: I20181016002136 |
| Provider Name | Fozia Abdulwahabe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386763373 PECOS PAC ID: 2668572728 Enrollment ID: I20181114001429 |
| Provider Name | Farzana Kousar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386008530 PECOS PAC ID: 3971895392 Enrollment ID: I20181130001072 |
| Provider Name | Mustafa Rikabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588077697 PECOS PAC ID: 8820370950 Enrollment ID: I20181203000968 |
| Provider Name | Tilahun Goshu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336628551 PECOS PAC ID: 2567700107 Enrollment ID: I20190206002779 |
| Provider Name | Maureen S Milauskas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760957278 PECOS PAC ID: 8224374467 Enrollment ID: I20190211001314 |
| Provider Name | Erica Shackelford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902375694 PECOS PAC ID: 0244578060 Enrollment ID: I20190220001649 |
| Provider Name | Sonya Woronowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205391166 PECOS PAC ID: 6406195874 Enrollment ID: I20190301000027 |
| Provider Name | Tracy Newsome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760946172 PECOS PAC ID: 9638419823 Enrollment ID: I20190326002018 |
| Provider Name | Loverly Glaze Santos Pelayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508337403 PECOS PAC ID: 4789923129 Enrollment ID: I20190529001280 |
| Provider Name | Jessica Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225692973 PECOS PAC ID: 6901149657 Enrollment ID: I20190611000432 |
| Provider Name | Daniel Patrick Sapp |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1447646294 PECOS PAC ID: 8022372143 Enrollment ID: I20190723003180 |
| Provider Name | Yen H Tang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629630413 PECOS PAC ID: 8224366448 Enrollment ID: I20190827001201 |
| Provider Name | Victoria Mari Cornelius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568925998 PECOS PAC ID: 7911237672 Enrollment ID: I20190923001563 |
| Provider Name | Sharin P Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356854988 PECOS PAC ID: 7113289547 Enrollment ID: I20190924003962 |
| Provider Name | Tinae Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891342853 PECOS PAC ID: 6305176538 Enrollment ID: I20191001001403 |
| Provider Name | Kelly Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497147102 PECOS PAC ID: 6305158759 Enrollment ID: I20191017002338 |
| Provider Name | Amanda L Bunch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245796069 PECOS PAC ID: 6709118482 Enrollment ID: I20191030000395 |
| Provider Name | Nicole De Las Alas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740838978 PECOS PAC ID: 4486086725 Enrollment ID: I20191114000006 |
| Provider Name | Sadia Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518423847 PECOS PAC ID: 9335480375 Enrollment ID: I20200310000186 |
| Provider Name | Dustin Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316581366 PECOS PAC ID: 5799114393 Enrollment ID: I20200402001785 |
| Provider Name | Warseal Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336193689 PECOS PAC ID: 0446296529 Enrollment ID: I20200508000152 |
| Provider Name | Deja Keeara Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629600127 PECOS PAC ID: 0042632663 Enrollment ID: I20200626000872 |
| Provider Name | Avani D Rajpoot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689158537 PECOS PAC ID: 0143560094 Enrollment ID: I20200629002033 |
| Provider Name | Katherine Mary Garity |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063039337 PECOS PAC ID: 4385069368 Enrollment ID: I20200807001600 |
| Provider Name | Shaz Shuja Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124415344 PECOS PAC ID: 8123444783 Enrollment ID: I20200813002637 |
| Provider Name | Ovando Jean Pierre |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881739456 PECOS PAC ID: 7911071428 Enrollment ID: I20200903002256 |
| Provider Name | Anila Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619264959 PECOS PAC ID: 2860613973 Enrollment ID: I20201028000674 |
| Provider Name | Juli Ann Cody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134726177 PECOS PAC ID: 1951711480 Enrollment ID: I20201111002351 |
| Provider Name | Heather E Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306309570 PECOS PAC ID: 2062824303 Enrollment ID: I20201210002120 |
| Provider Name | Caitlin Diley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366051948 PECOS PAC ID: 3678986221 Enrollment ID: I20201229000476 |
| Provider Name | Sara Vandeginste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063035012 PECOS PAC ID: 6305259961 Enrollment ID: I20201229001035 |
| Provider Name | Sandra Oscar Sprouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710588678 PECOS PAC ID: 9436563699 Enrollment ID: I20210128002880 |
| Provider Name | Lauren Threatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366031387 PECOS PAC ID: 5799199857 Enrollment ID: I20210201001329 |
| Provider Name | Michelle Lynn Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619583283 PECOS PAC ID: 1355755380 Enrollment ID: I20210202001747 |
| Provider Name | Sherylbeb L Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033528260 PECOS PAC ID: 9931320421 Enrollment ID: I20210224000123 |
| Provider Name | Dhaka Gurung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043812407 PECOS PAC ID: 1850707423 Enrollment ID: I20210305000011 |
| Provider Name | Katja Swartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851975379 PECOS PAC ID: 8022427384 Enrollment ID: I20210518000063 |
| Provider Name | Christina Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629651799 PECOS PAC ID: 9335548601 Enrollment ID: I20210519001377 |
| Provider Name | Jessica a Gilleo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558944959 PECOS PAC ID: 6103225123 Enrollment ID: I20210526000186 |
| Provider Name | Cathy Shell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447755772 PECOS PAC ID: 7214339928 Enrollment ID: I20210716001186 |
| Provider Name | Olga Sokolov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932778289 PECOS PAC ID: 9931503646 Enrollment ID: I20210803001424 |
| Provider Name | Dawn Aimee Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356948483 PECOS PAC ID: 6406250133 Enrollment ID: I20210803002172 |
| Provider Name | Meryl Kray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083387575 PECOS PAC ID: 3274937289 Enrollment ID: I20210812000424 |
| Provider Name | Kristen R Kunka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740853076 PECOS PAC ID: 6002210457 Enrollment ID: I20210812003647 |
| Provider Name | Katelyn Ciara Lambert Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518634211 PECOS PAC ID: 6305242439 Enrollment ID: I20210915000296 |
| Provider Name | Joanne Catherine Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689262800 PECOS PAC ID: 0345647947 Enrollment ID: I20210924000463 |
| Provider Name | Abimbola a Trepanier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285230615 PECOS PAC ID: 8527456987 Enrollment ID: I20211104000686 |
| Provider Name | Ashleigh Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881369536 PECOS PAC ID: 4587053152 Enrollment ID: I20211119002176 |
| Provider Name | Marquail Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659943843 PECOS PAC ID: 3375933773 Enrollment ID: I20211129000724 |
| Provider Name | Gifty N Sey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083227847 PECOS PAC ID: 7810387156 Enrollment ID: I20211206000785 |
| Provider Name | Precious D Kilpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538769971 PECOS PAC ID: 1557752839 Enrollment ID: I20211221000560 |
| Provider Name | Lauren Froede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902372550 PECOS PAC ID: 3476893850 Enrollment ID: I20220106001386 |
| Provider Name | Kayley Vela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497416358 PECOS PAC ID: 0143612705 Enrollment ID: I20220119002194 |
| Provider Name | Tuesdaye Anne Curling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215586730 PECOS PAC ID: 7416349584 Enrollment ID: I20220121002343 |
| Provider Name | Elise J Young |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518072891 PECOS PAC ID: 5496754392 Enrollment ID: I20220403000027 |
| Provider Name | Whitney Lashelle Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922693167 PECOS PAC ID: 3072909506 Enrollment ID: I20220408000409 |
| Provider Name | Brianna Maiatico |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396492310 PECOS PAC ID: 1557758976 Enrollment ID: I20220503001335 |
| Provider Name | Archelle L. Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003569898 PECOS PAC ID: 5799967014 Enrollment ID: I20220606001726 |
| Provider Name | Tara Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033703061 PECOS PAC ID: 6709264617 Enrollment ID: I20220606002131 |
| Provider Name | Hyacintha P Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770218000 PECOS PAC ID: 6103209762 Enrollment ID: I20220816000864 |
| Provider Name | Ravneet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881331866 PECOS PAC ID: 4688057185 Enrollment ID: I20220816003087 |
| Provider Name | Alex Hamidi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1760945513 PECOS PAC ID: 4486044070 Enrollment ID: I20220927003157 |
| Provider Name | Jessica Michelle Greenberg-engle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902527278 PECOS PAC ID: 2668848631 Enrollment ID: I20221017002685 |
| Provider Name | John Shyllon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255058160 PECOS PAC ID: 7315314507 Enrollment ID: I20221101000234 |
| Provider Name | Kelly Oneill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417675091 PECOS PAC ID: 1850769266 Enrollment ID: I20221116000727 |
| Provider Name | Kelly Van Assche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912249921 PECOS PAC ID: 1850527789 Enrollment ID: I20221121002465 |
| Provider Name | Hayley Arcadipane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982227724 PECOS PAC ID: 0749694271 Enrollment ID: I20221122002397 |
| Provider Name | Sarah Marie Tutolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508575598 PECOS PAC ID: 0143699116 Enrollment ID: I20221214000386 |
| Provider Name | Kaila Kristen Bray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689383879 PECOS PAC ID: 1254700123 Enrollment ID: I20221216001173 |
| Provider Name | Hanh Tran Bich Vu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851062335 PECOS PAC ID: 0042680209 Enrollment ID: I20230104002458 |
| Provider Name | Michaela Romero |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508527995 PECOS PAC ID: 1456722909 Enrollment ID: I20230120002195 |
| Provider Name | Elizabeth Narouz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033687389 PECOS PAC ID: 9436492162 Enrollment ID: I20230131000116 |
| Provider Name | Meghan Anezin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851098156 PECOS PAC ID: 2567835192 Enrollment ID: I20230302000771 |
| Provider Name | Meghan Michele Shimp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669179263 PECOS PAC ID: 0840664801 Enrollment ID: I20230315003182 |
| Provider Name | Ella Hyeseung Jo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396497178 PECOS PAC ID: 6103290614 Enrollment ID: I20230324000762 |
| Provider Name | Sherri Eagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831896109 PECOS PAC ID: 0143695296 Enrollment ID: I20230404000436 |
| Provider Name | Stacey Lynn Sumner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902507635 PECOS PAC ID: 8022483163 Enrollment ID: I20230404002660 |
| Provider Name | Sarah Yeager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669102489 PECOS PAC ID: 2961867189 Enrollment ID: I20230425002851 |
| Provider Name | Alisa Patrice Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326765405 PECOS PAC ID: 7012373996 Enrollment ID: I20230518002299 |
| Provider Name | Alyson Clendenny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811681307 PECOS PAC ID: 3577922186 Enrollment ID: I20230630003197 |
| Provider Name | Erma Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508476763 PECOS PAC ID: 4789044561 Enrollment ID: I20230712003652 |
| Provider Name | Joshua Schuyler Slakman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124656525 PECOS PAC ID: 9739501396 Enrollment ID: I20230713000935 |
| Provider Name | Simisola O Awofodu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376186684 PECOS PAC ID: 6204226012 Enrollment ID: I20230727001717 |
| Provider Name | Beverly Nyokabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043832413 PECOS PAC ID: 7214390335 Enrollment ID: I20230822004181 |
| Provider Name | Charles Keith Moon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285418848 PECOS PAC ID: 3072967363 Enrollment ID: I20230920001223 |
| Provider Name | Monica Latoya Alade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396520318 PECOS PAC ID: 7214382829 Enrollment ID: I20231017000183 |
| Provider Name | Courtney R Wyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568246395 PECOS PAC ID: 9537514112 Enrollment ID: I20231017003204 |
| Provider Name | Rohina S Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770364861 PECOS PAC ID: 3274980578 Enrollment ID: I20231108000963 |
| Provider Name | Patrick Mckeegan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942900352 PECOS PAC ID: 0749637742 Enrollment ID: I20231113003692 |
| Provider Name | Nora Elspeth Lawler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730969221 PECOS PAC ID: 2860840485 Enrollment ID: I20231121000492 |
| Provider Name | Jennifer L Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073025599 PECOS PAC ID: 2961850508 Enrollment ID: I20231121001303 |
| Provider Name | Jocelyn J Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720852924 PECOS PAC ID: 7719337302 Enrollment ID: I20231221004100 |
| Provider Name | Nastassya Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801669312 PECOS PAC ID: 0446601082 Enrollment ID: I20240109001268 |
| Provider Name | Chukwuemeka Okafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104389196 PECOS PAC ID: 1557698826 Enrollment ID: I20240226003412 |
| Provider Name | Anna Dinello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982466348 PECOS PAC ID: 7719323153 Enrollment ID: I20240307004307 |
| Provider Name | Alayna Christine Newlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114799467 PECOS PAC ID: 2163868399 Enrollment ID: I20240311002848 |
| Provider Name | Oksana V. Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952738080 PECOS PAC ID: 9436596988 Enrollment ID: I20240320002360 |
| Provider Name | Laura Oudshoorn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619400975 PECOS PAC ID: 1951688571 Enrollment ID: I20240329001308 |
| Provider Name | Omar Kamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477030336 PECOS PAC ID: 0749686996 Enrollment ID: I20240424000959 |
| Provider Name | Yousef Nikzai |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235879677 PECOS PAC ID: 0143661694 Enrollment ID: I20240515000392 |
| Provider Name | Samantha Halterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669245874 PECOS PAC ID: 6709329709 Enrollment ID: I20240619000034 |
| Provider Name | Kristin Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811743610 PECOS PAC ID: 9335682103 Enrollment ID: I20240620004207 |
| Provider Name | Abeba Gebregiorgis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386910248 PECOS PAC ID: 0446566905 Enrollment ID: I20240628003345 |
| Provider Name | Mariam Ndiaye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497448450 PECOS PAC ID: 9032563416 Enrollment ID: I20240715000099 |
| Provider Name | Chester Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548201551 PECOS PAC ID: 2769524545 Enrollment ID: I20240813001004 |
| Provider Name | Dani Elise Lightfoot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992542633 PECOS PAC ID: 0143768366 Enrollment ID: I20240820002660 |
| Provider Name | Enuma Okeke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922883107 PECOS PAC ID: 5597203216 Enrollment ID: I20240828001214 |
| Provider Name | Marcia E Guarniere |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134245681 PECOS PAC ID: 4688971419 Enrollment ID: I20240828005052 |
| Provider Name | Jalloh Mendegilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336984830 PECOS PAC ID: 6103366133 Enrollment ID: I20240917000745 |
| Provider Name | Staci Naomi Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336983394 PECOS PAC ID: 2264979210 Enrollment ID: I20240919000171 |
| Provider Name | Haley Lynn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457189615 PECOS PAC ID: 8921547332 Enrollment ID: I20240925000581 |
| Provider Name | Ionela Antonoiu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801572490 PECOS PAC ID: 8729529003 Enrollment ID: I20240926002496 |
| Provider Name | Lauren Prestera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952086068 PECOS PAC ID: 7214478361 Enrollment ID: I20240926004607 |
| Provider Name | Grace Alindogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841056363 PECOS PAC ID: 3678004942 Enrollment ID: I20240927001944 |
| Provider Name | Dione L George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316717218 PECOS PAC ID: 3375074297 Enrollment ID: I20241002004276 |
| Provider Name | Eline Patricia Narcisse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306690607 PECOS PAC ID: 7315479664 Enrollment ID: I20241011002284 |
| Provider Name | Eunice Wiafe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437995826 PECOS PAC ID: 6103358452 Enrollment ID: I20241011002422 |
| Provider Name | Raja Taher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215767116 PECOS PAC ID: 6507398559 Enrollment ID: I20241015002133 |
| Provider Name | Joseph Gurrala |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1760674345 PECOS PAC ID: 4486798378 Enrollment ID: I20241111002707 |
| Provider Name | Gail Ama Boachie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023703345 PECOS PAC ID: 3375904196 Enrollment ID: I20241127000738 |
| Provider Name | Ann Dabney Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992522940 PECOS PAC ID: 4688108855 Enrollment ID: I20241204000069 |
| Provider Name | Rubby Koomson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831923135 PECOS PAC ID: 3173057486 Enrollment ID: I20241208000110 |
| Provider Name | Vaquinda Motley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659125003 PECOS PAC ID: 7810434644 Enrollment ID: I20241219000925 |
| Provider Name | Jordan Kestler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578104691 PECOS PAC ID: 6507293248 Enrollment ID: I20241220002191 |
| Provider Name | Aliaa Ibrahim Metwally Mahmoud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528886538 PECOS PAC ID: 5890223374 Enrollment ID: I20250112000011 |
| Provider Name | Grace Anne Tatlonghari |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497348718 PECOS PAC ID: 3870955974 Enrollment ID: I20250112000015 |
| Provider Name | Millicent Animley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760104913 PECOS PAC ID: 2365812336 Enrollment ID: I20250114002668 |
| Provider Name | Shirin Mohsini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164296869 PECOS PAC ID: 3173052131 Enrollment ID: I20250221002313 |
| Provider Name | Harold Cartier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508682345 PECOS PAC ID: 5395275085 Enrollment ID: I20250304002465 |
| Provider Name | Tayyaba Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013733245 PECOS PAC ID: 7315477353 Enrollment ID: I20250305002677 |
| Provider Name | Harleen Kaur Sandhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366257107 PECOS PAC ID: 6305368135 Enrollment ID: I20250320002776 |
| Provider Name | Latoya Jarrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417762329 PECOS PAC ID: 7911429568 Enrollment ID: I20250324001973 |
| Provider Name | Brittany Thernishe Meheux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245056985 PECOS PAC ID: 2860912508 Enrollment ID: I20250412000227 |
| Provider Name | Brian J Bosworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790580108 PECOS PAC ID: 5597280289 Enrollment ID: I20250416001329 |
| Provider Name | Fidelis Uzoma Enyinnaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881046225 PECOS PAC ID: 9931484698 Enrollment ID: I20250512001690 |
| Provider Name | Angelic Marie Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225839038 PECOS PAC ID: 1951829829 Enrollment ID: I20250514002272 |
| Provider Name | Sashi Dayaratna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144725136 PECOS PAC ID: 3779814884 Enrollment ID: I20250603004446 |
| Provider Name | Khan Alam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487282547 PECOS PAC ID: 7618391277 Enrollment ID: I20250609000736 |
| Provider Name | Meghan Sandbek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871395244 PECOS PAC ID: 9830601483 Enrollment ID: I20250620001082 |
| Provider Name | Emily Huneke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194554766 PECOS PAC ID: 5698200319 Enrollment ID: I20250728003053 |
| Provider Name | Linea Duffus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396539540 PECOS PAC ID: 3072010750 Enrollment ID: I20251008002616 |
| Provider Name | Kholood Ahmed |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1255180709 PECOS PAC ID: 0143764860 Enrollment ID: I20251016002277 |
| Provider Name | Kristen Bagley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205703493 PECOS PAC ID: 5698266781 Enrollment ID: I20251117003147 |
| Provider Name | Jennifer Schermerhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023827193 PECOS PAC ID: 7416449848 Enrollment ID: I20251124001685 |
| Provider Name | Amelia Macfarlane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437025434 PECOS PAC ID: 3476039686 Enrollment ID: I20260107003735 |
| Provider Name | Sunita Adhikari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366138521 PECOS PAC ID: 5395220982 Enrollment ID: I20260401000775 |
| Provider Name | James Hwang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275018426 PECOS PAC ID: 7810241361 Enrollment ID: I20260414002454 |
| Provider Name | Thomasina Michele Crute |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184567786 PECOS PAC ID: 1456829977 Enrollment ID: I20260504005718 |
| Provider Name | Upama Karki Thapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922970763 PECOS PAC ID: 3274001656 Enrollment ID: I20260504007617 |
| Provider Name | Daniel Edgar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164378568 PECOS PAC ID: 6507334802 Enrollment ID: I20260505003724 |
Loudoun Walk in Medical Center, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 44320 Premier Plz, Ashburn, VA 20147 Phone: 703-726-9056 Fax: 703-726-9058 |
Leesburg Medical Clinic, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44121 Harry Byrd Hwy Ste 225, Ashburn, VA 20147 Phone: 703-596-7000 Fax: 800-609-0775 |
KK Telehealth Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 43849 Delightful Pl, Ashburn, VA 20147 Phone: 859-250-2147 |
Ashburn Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21785 Filigree Ct, Suite 215, Ashburn, VA 20147 Phone: 571-223-5610 Fax: 571-287-6792 |
Loudoun Medical Associates LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44095 Pipeline Plz, Suite 410, Ashburn, VA 20147 Phone: 703-635-4564 |
Broadlands Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20905 Professional Plaza, Suite 330, Ashburn, VA 20147 Phone: 703-726-0003 Fax: 703-726-6444 |