COMMUNITY CARE PEDIATRICS, LLC (NPI# 1093096281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093096281 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE PEDIATRICS, LLC |
| Practice Address |
9444 Taney Rd 103 Manassas VA 20110-5933 |
| Mailing Address |
9430 Forestwood Ln 100 Manassas VA 20110-4753 |
| Practice Telephone | 7033650227 |
| Practice Fax Number | 7033650332 |
| Mailing Telephone | 7033650227 |
| Mailing Fax Number | 7033650332 |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |
| Authorized Official Name | MRS. JENNIFER MICHELLE SCHMIDT (PRACTITIONER) |
| Authorized Official Telephone | 7033650227 |
| Authorized Official Credential | CFNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024166627 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9444 TANEY RD 103 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-5933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487878286 | Dyanne Victoria Liga | Physician Assistant | 9444 Taney Rd, Manassas, VA 20110-5933 | 2007-04-12 |
| 1063748820 | Greater Prince William Area Community Health Center Inc | Clinic/Center | 9444 Taney Rd, Manassas, VA 20110-5933 | 2009-10-28 |
| 1922282771 | Rebecca Sinclair | Internal Medicine | 9444 Taney Rd, Manassas, VA 20110-5933 | 2007-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386209369 | Libby Beatty Phillips | Nurse Practitioner | 9380 Forestwood Ln Ste B, Manassas, VA 20110-4735 | 2019-05-06 |
| 1821581588 | Tanya E Reynolds | Nurse Practitioner | 8051 Sudley Rd, Manassas, VA 20109-8001 | 2018-06-07 |
| 1952831448 | Tracey Lee Hoefler | Nurse Practitioner | 8644 Sudley Rd Ste 117, Manassas, VA 20110-4425 | 2017-06-15 |
| 1497294169 | Tele Da-silveira | Nurse Practitioner | 11115 Light Guard Loop, Manassas, VA 20109-7633 | 2017-02-14 |
| 1548611916 | April Vannoy | Nurse Practitioner | 8501 Sudley Rd, Manassas, VA 20109-3563 | 2016-06-28 |
| 1093057358 | Sherri L Mason | Nurse Practitioner | 15588 Hume School Ct, Manassas, VA 20112-5444 | 2013-03-25 |
| 1386928539 | Julie Lynn Kulp | Nurse Practitioner | Northern Virginia Family Medicine, 9001 Digges Rd #105, Manassas, VA 20110 | 2011-10-06 |
| 1265746317 | Norman Michael Jacobowitz | Nurse Practitioner | 8575 Sudley Rd Ste B, Manassas, VA 20110-3861 | 2010-07-31 |
| 1194851758 | M Constance Finley-harrier | Nurse Practitioner | 9600 Godwin Dr, Mtv Health Center, Manassas, VA 20110 | 2007-02-26 |
| 1720157829 | Flaviano Delacruz Dazo | Nurse Practitioner | 9309 Centreville Road, Manassas, VA 20110 | 2006-11-06 |
| Find all providers in MANASSAS | ||||
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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.