ANDREA D STALLWORTH-VERSTRAETE (NPI# 1134316045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134316045 |
| Entity Type | Individual |
| Full Name | ANDREA D STALLWORTH-VERSTRAETE |
| Credential | FNP |
| Practice Address |
845 Bladensburg Rd Ne Washington DC 20002-3927 |
| Mailing Address |
210 T St Nw Washington DC 20001-1841 |
| Practice Telephone | 2023972600 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2017-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN963727 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
845 BLADENSBURG RD NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20002-3927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548202252 | James A D'orta Md PC | Clinic/Center | 845 Bladensburg Rd Ne, Washington, DC 20002-3927 | 2006-06-10 |
| 1093138539 | Bonna R. Ormond | Nurse Practitioner | 845 Bladensburg Rd Ne, Washington, DC 20002-3927 | 2014-02-03 |
| 1497002836 | Itunuoluwa Alao | Nurse Practitioner | 845 Bladensburg Rd Ne, Washington, DC 20002-3927 | 2012-08-03 |
| 1043595036 | Megan Elisabeth Coleman | Nurse Practitioner | 845 Bladensburg Rd Ne, Washington, DC 20002-3927 | 2011-10-21 |
| 1063644466 | Eric C. Marshall Md PC | Nurse Practitioner | 845 Bladensburg Rd Ne, Washington, DC 20002-3927 | 2009-08-18 |
| 1760692891 | Natacha I Moorer | Nurse Practitioner | 845 Bladensburg Rd Ne, Washington, DC 20002-3927 | 2007-05-24 |
| 1861596835 | District of Columbia Cvs Pharmacy, L.L.C. | Pharmacy | 845 Bladensburg Rd Ne, Washington, DC 20002-3927 | 2006-09-12 |
| 1093823825 | Linda Duquette-petersen | Nurse Practitioner | 845 Bladensburg Rd Ne, Washington, DC 20002-3927 | 2006-08-29 |
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| 1871053165 | Alyse Marie Knuth | Dentist | Pentagon, Corridor 8, Washington, DC 20002 | 2019-03-22 |
| 1043776586 | Courtney Moore-mercado | Social Worker | 429 P Street Nw, Washington, DC 20002 | 2019-02-20 |
| 1578034096 | Triple Alliance Pharmacy, Inc | Pharmacy | 1819 West Virgnia Avenue Ne, Washington Dc, DC 20002 | 2018-12-10 |
| 1477023000 | Tekisha Cecelia Blake | Technician | 16 R Street Ne, Washington, DC 20002 | 2018-11-27 |
| 1801366497 | Tionna Paulette Harrison | Technician | 150 Q Street Ne 1427, Washington, DC 20002 | 2018-11-27 |
| Find all providers in zip 20002 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
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| 1952915746 | Alexandra Renee Leeper | Nurse Practitioner | 363 Maple Ave, Washington, PA 15301-1907 | 2020-08-31 |
| 1114530045 | Brittany Ann Enlow | Nurse Practitioner | 620 E Washington St, Washington, IA 52353-2031 | 2020-08-29 |
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| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20002 |
Please comment or provide details below to improve the information on ANDREA D STALLWORTH-VERSTRAETE.
| 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.