CONCHETTA VINSON BREVARD


Address: 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285
Phone: 5712313531

CONCHETTA VINSON BREVARD (NPI# 1144884529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144884529
Entity Type Individual
Full Name CONCHETTA VINSON BREVARD
Credential RDH
Practice Address 9300 Dewitt Loop
Ft Belvoir
VA 22060-5285
Mailing Address 120 Short Branch Rd
Stafford
VA 22556-4642
Practice Telephone 5712313531
Mailing Telephone 5715999396
Enumeration Date 2019-04-30
Last Update Date 2019-04-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 0402206416 VA Dental Providers

Office Location

Street Address 9300 DEWITT LOOP
City FT BELVOIR
State VA
Zip Code 22060-5285

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457983033 Laura Long Pharmacist 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 2020-02-11
1013557388 Mimi Thanh-uyen Phan Pharmacist 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 2020-01-14
1194373993 Keri Kirk Psychologist 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 2019-08-27
1326600537 Hailey Lane Faist Family Medicine 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 2019-07-08
1174004600 Emily E Oh Pharmacist 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 2018-08-23
1619460987 John Evan Powers Family Medicine 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 2018-06-12
1982122008 Usoro Emmanuel Udo Military Health Care Provider 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 2017-09-08
1851819783 Roni Jozetti Rhinehardt Social Worker 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 2017-08-30
1184153918 Cammie Steadman Burgess Nurse Practitioner 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 2017-06-06
1215465562 Abigail Lea Axel Family Medicine 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 2017-05-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447780317 Elizabeth Joy Bier Family Medicine Fort Belvoir Community Hospital 9300 Dewitt Loop, Fort Belvoir, VA 22060 2017-06-14
1518413723 Meredith Rae Cuddy Social Worker 9300 Dewitt Loop, Rivers Pavillion, 2nd Floor, Room R2.403, Fort Belvoir, VA 22060 2016-08-28
1760804041 Edward Burke Nurse Anesthetist, Certified Registered 9300 Dewitt Loop, Sunrise Pavilion, 3rd Flr, Rm 218, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 2014-01-06
1972940450 Deepa Ramanathan Elion Clinical Neuropsychologist 5908 9th Street, Building 1259, Intrepid Sprit One, Nicoe, Fort Belvoir, VA 22060 2013-05-24
1861837643 Usv Optical Inc. Eyewear Supplier (Equipment, not the service) 8651 John J Kingman, Building 2321, Fort Belvoir, VA 22060 2013-05-07
1609150820 Brittany Rodriguez Physical Therapist 9300 Belvoir Rd, Fort Belvoir, VA 22060 2011-10-06
1457657983 Jacob Macgregor Nurse Anesthetist, Certified Registered 9300 Dewit Loop, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 2011-02-01
1518291442 Stacie Erin Thomas Speech-Language Pathologist 5980 9th Street, Intrepid Pavillion, Fort Belvoir, VA 22060 2009-09-24
1033347125 David Michael Hanrahan Psychiatry & Neurology 5980 9th Street Building #1259, Fort Belvoir Intrepid Pavillion, Fort Belvoir, VA 22060 2009-06-26
1649459777 Central Care Inc Military Hospital 9501 Farrell Rd Bldg 805, Dewitt Health Care Center, Ft Belvoir, VA 22060 2007-10-25
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538767520 Cassandra Elizabeth Knowles Dental Hygienist 3626 Poplar Ridge Dr, Gloucester, VA 23061-3267 2020-10-13
1669081089 Kelly Davis Dental Hygienist 741 Crystal Ln, Strasburg, VA 22657-2373 2020-07-31
1184240848 Masih Safi Dental Hygienist 3005 Marisa Ct, Woodbridge, VA 22192-3919 2020-06-18
1144845470 Gwendilynn Thu Duong Dental Hygienist 6707 Old Dominion Dr Ste 240, Mc Lean, VA 22101-4503 2020-06-12
1144857434 Roshani Patel Dental Hygienist 3951 Kathryn Jean Ct, Fairfax, VA 22033-2743 2020-03-25
1679105936 Erica Cavaluzzi Dental Hygienist 13532 Mallard Watch Way, Clifton, VA 20124-0920 2020-02-05
1982250759 Natalie Marie Campbell Dental Hygienist 5979 Emory Blvd, Fort Belvoir, VA 22060-3236 2019-08-16
1487214201 Annmarie Mcbride Dental Hygienist 4701 Franconia Rd, Alexandria, VA 22310-1908 2019-06-14
1912565599 Lilia Vaughan Dental Hygienist 2300 Vantage Dr Apt 3051, Woodbridge, VA 22191-4170 2019-05-30
1346805876 Jodie Pointer Myers Dental Hygienist 10845 Timber Rd, South Prince George, VA 23805-7508 2019-05-09
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Competitor

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City FT BELVOIR
Zip Code 22060

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Dataset Information

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.

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