JENNIFER KANNAN (NPI# 1083659189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083659189 |
| Entity Type | Individual |
| Full Name | JENNIFER KANNAN |
| Credential | PA-C |
| Practice Address |
3600 Joseph Siewick Dr Fairfax VA 22033-1709 |
| Mailing Address |
Po Box 9150 Paducah KY 42002-9150 |
| Practice Telephone | 7033913558 |
| Practice Fax Number | 7033913441 |
| Mailing Telephone | 2707449600 |
| Mailing Fax Number | 2707448647 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 0110005279 | VA | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | 0110005279 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA3744 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 Hospital Dr, Warrenton, VA 201863027 | 5403165000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740589993 | Jennifer Anita Kannan | Allergy & Immunology | 2300 M St Nw, Suite 200, Washington, DC 20037-1434 | 2011-03-26 |
| Street Address |
3600 JOSEPH SIEWICK DR |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854250 | Maria Lucille Fain | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2005-07-14 |
| 1679171847 | Lucy Holden Cusack | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-10-11 |
| 1346854189 | Kathleen Nicole Jennings | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-31 |
| 1730792649 | Amy Christine Byerle | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-29 |
| 1184235863 | Nancy Lynn Forrest | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-14 |
| 1639780323 | Laura Ann Cintorino | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-14 |
| 1366053332 | Elizabeth Abando | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-13 |
| 1124639992 | Sarah A Mcdonald | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-13 |
| 1134633597 | Previtha Sanna Mathews | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2017-11-21 |
| 1427590629 | Qian Feng | Specialist/Technologist, Other | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2016-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215163902 | Rinku Patel Jagait | Hospitalist | 3600 Joseph Siewick Dr, Fair Oaks Hospitalist Physicians Pllc, Fairfax, VA 22033-1709 | 2009-06-08 |
| 1275601205 | Fair Oaks Hospitalist Physicians, Pllc | Hospitalist | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2006-11-30 |
| 1053347476 | Commonwealth of Virginia Dept of Mental Health and Northern Virginia T | Hospitalist | 9901 Braddock Rd, Fairfax, VA 22032-1904 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447811443 | S. Wyatt, Pllc | Hospitalist | 7457 Mook Ct, Mechanicsville, VA 23111-1452 | 2019-06-21 |
| 1568028082 | Daniel Kamara | Hospitalist | 1102 Commerce St # H, Lynchburg, VA 24504-1719 | 2019-05-10 |
| 1235521667 | Medical Solutions of Virginia, Inc | Hospitalist | 717 Elm Forest Ct, Chesapeake, VA 23322-7589 | 2015-02-23 |
| 1043521800 | Ashish Patel | Hospitalist | 7151 Jahnke Rd, Richmond, VA 23225 | 2010-06-27 |
| 1457672024 | Baidaa N Sullivani | Hospitalist | 3136 Turnberry Cir, Charlottesville, VA 22911-7489 | 2010-06-18 |
| 1922323435 | Lily O Otolorin | Hospitalist | 2337 Kew Gardens Dr, Woodbridge, VA 22191-6577 | 2010-03-29 |
| 1700012473 | Abreham Baye Feleke | Hospitalist | Mcguire Va Medical Center 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2009-06-08 |
| 1134363427 | Yuri Maricich | Hospitalist | 977 Seminole Trl, #357, Charlottesville, VA 22901-2824 | 2009-04-30 |
| 1174790588 | James Hyun Jin So | Hospitalist | 4000 Barringer Ln, Apt 1938, Richmond, VA 23233-1158 | 2008-05-14 |
| 1861680662 | Riversbend Hospitalists P.C. | Hospitalist | 835 Club Ridge Ter, Chester, VA 23836-2746 | 2007-10-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.