JENNY SANDBERG (NPI# 1104367622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104367622 |
| Entity Type | Individual |
| Full Name | JENNY SANDBERG |
| Practice Address |
44084 Riverside Pkwy Suite 300 Leesburg VA 20176-5102 |
| Mailing Address |
2603 Blueridge Ave Silver Spring MD 20902-2739 |
| Practice Telephone | 7037247530 |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN1032855 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R209451 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
44084 RIVERSIDE PKWY SUITE 300 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-5102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588657019 | Scott Howard Nagell | Family Medicine | 44084 Riverside Pkwy, Suite 300, Leesburg, VA 20176-5102 | 2005-08-30 |
| 1083259337 | Corey Lynn Farrell | Nurse Practitioner | 44084 Riverside Pkwy, Leesburg, VA 20176-8279 | 2019-11-11 |
| 1962050575 | Amanda George | Counselor | 44084 Riverside Pkwy, Leesburg, VA 20176-8279 | 2019-08-27 |
| 1578021978 | Anthony Augliera Jr. | Physical Therapist | 44084 Riverside Pkwy, Leesburg, VA 20176-8279 | 2019-03-05 |
| 1295140176 | Abcss-loudoun, Inc | In Home Supportive Care | 44084 Riverside Pkwy, Suite Ll325, Leesburg, VA 20176-5102 | 2014-06-30 |
| 1487090544 | Angela Kay Williams | Social Worker | 44084 Riverside Pkwy, Leesburg, VA 20176-5102 | 2013-05-16 |
| 1295078277 | Total Renal Care Inc | Clinic/Center | 44084 Riverside Pkwy, Suite 100, Leesburg, VA 20176-5102 | 2013-03-28 |
| 1841545761 | Loudoun Medical Group PC | Family Medicine | 44084 Riverside Pkwy, Suite 300, Leesburg, VA 20176-5102 | 2012-07-17 |
| 1427325216 | Charlesetta Bennita Morris | Physical Therapist | 44084 Riverside Pkwy, Suite 300, Leesburg, VA 20176-5102 | 2011-11-21 |
| 1801182373 | Valerie May Rhodes | Family Medicine | 44084 Riverside Pkwy, Suite 300, Leesburg, VA 20176-5102 | 2011-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
| Find all providers in zip 20176 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801416094 | Tia Tenease Barriner | Nurse Practitioner | 1626 Sterns Dr, Leesburg, FL 34748-2019 | 2020-04-17 |
| 1679102818 | Heather Georgiana Pickle | Nurse Practitioner | 172 Fowler Dr, Leesburg, GA 31763-5012 | 2020-04-08 |
| 1952940876 | Brittany Breen | Nurse Practitioner | 44055 Riverside Pkwy Ste 100, Leesburg, VA 20176-5155 | 2019-12-23 |
| 1245871128 | Shayna Johnson | Nurse Practitioner | 33825 Secret Hill Dr, Leesburg, FL 34788-3845 | 2019-10-02 |
| 1144785882 | Dharma Deekshita Lakshman Rao | Nurse Practitioner | 5819 Windsong Oak Dr, Leesburg, FL 34748-3474 | 2019-02-06 |
| 1821553827 | Angela L Tatro | Nurse Practitioner | 27637 Us Highway 27, Leesburg, FL 34748-9033 | 2019-02-04 |
| 1265996516 | Monica Cherise Jenkins | Nurse Practitioner | 2113 Griffin Rd, Leesburg, FL 34748-3303 | 2019-01-30 |
| 1780154708 | Orlandria Michelle Bennett-reed | Nurse Practitioner | 129 Oakland Pkwy, Leesburg, GA 31763-7201 | 2018-12-03 |
| 1902375694 | Erica Shackelford | Nurse Practitioner | 540 Fort Evans Rd Ste 204, Leesburg, VA 20176-3379 | 2018-11-26 |
| 1851888242 | Shaneidra Hayes | Nurse Practitioner | 115 Pelham Dr, Leesburg, GA 31763-4913 | 2018-04-20 |
| Find all providers in LEESBURG | ||||
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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.