JUDITH JACKELYN FARIA BRICENO (NPI# 1164083929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164083929 |
| Entity Type | Individual |
| Full Name | JUDITH JACKELYN FARIA BRICENO |
| Credential | MD |
| Practice Address |
24 Gloucester Rd Stuarts Draft VA 24477 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 5403373710 |
| Practice Fax Number | 5403370930 |
| Mailing Telephone | 4342951000 |
| Mailing Fax Number | 4349724266 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 0101267828 | VA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 0101267828 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
24 GLOUCESTER RD |
| City | STUARTS DRAFT |
| State | VA |
| Zip Code | 24477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346278611 | George P. Damewood Iv | Family Medicine | 24 Gloucester Rd, Stuarts Draft, VA 24477-3321 | 2006-06-28 |
| 1811512841 | Christopher Caleb Helsley | Nurse Practitioner | 24 Gloucester Rd, Stuarts Draft, VA 24477-3321 | 2020-06-16 |
| 1669023107 | Erika Zantzinger | Nurse Practitioner | 24 Gloucester Rd, Stuarts Draft, VA 24477-3321 | 2019-09-26 |
| 1750939641 | Renee Davis | Physician Assistant | 24 Gloucester Rd, Stuarts Draft, VA 24477-3321 | 2019-09-03 |
| 1760866040 | Mallory E Fox | Nurse Practitioner | 24 Gloucester Rd, Stuarts Draft, VA 24477-3321 | 2015-07-16 |
| 1104265354 | Lori Jan Gonzalez | Nurse Practitioner | 24 Gloucester Rd, Stuarts Draft, VA 24477-3321 | 2013-06-20 |
| 1205190089 | Jennifer Mentore | Nurse Practitioner | 24 Gloucester Rd, Stuarts Draft, VA 24477-3321 | 2012-06-27 |
| 1801186481 | Kerry C. Lanigan | Internal Medicine | 24 Gloucester Rd, Stuarts Draft, VA 24477-3321 | 2011-04-15 |
| 1770889065 | April L. Pierce | Nurse Practitioner | 24 Gloucester Rd, Stuarts Draft, VA 24477-3321 | 2011-02-03 |
| 1487729448 | Kathryn A Kahler | Nurse Practitioner | 24 Gloucester Rd, Stuarts Draft, VA 24477-3321 | 2006-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881104701 | Family Preservation Services, Inc | Community/Behavioral Health | 63 State Route 9030, Stuarts Draft, VA 24477 | 2017-10-05 |
| 1700165677 | Megan Renee Campbell Yost | Pharmacist | 2929 Stuarts Draft Highway, Suite 101, Stuarts Draft, VA 24477 | 2011-08-10 |
| 1225242175 | Marla Jean Robbins | Midwife, Lay | 181 Offliter Rd, Stuarts Draft, VA 24477 | 2007-05-10 |
| 1447270616 | Dennis L. Hatter | Family Medicine | 24 Gloucester Road, Uva Stuarts Draft Family Practice, Stuarts Draft, VA 24477 | 2006-07-20 |
| 1588684666 | Richard B. Miller | Family Medicine | Uva Stuarts Draft Family Practice, 24 Gloucester Road, Stuarts Draft, VA 24477 | 2006-07-20 |
| 1023292273 | Dana Leigh Mcclanahan | Nurse Practitioner | 272 Patton Farm Rd, Stuarts Draft, VA 24477 | 2007-12-24 |
| 1447272968 | John W. Forbes | Family Medicine | Uva Stuarts Draft Family Practice, 24 Gloucester Road, Stuarts Draft, VA 24477 | 2006-07-24 |
| 1134149206 | Samuel A. Hostetter | Family Medicine | Uva Stuarts Draft Family Practice, 24 Gloucester Road, Stuarts Draft, VA 24477 | 2006-07-20 |
| 1770503922 | David Joel Clevenson | Family Medicine | 24 Gloucester Road, Uva Stuarts Draft Family Practice, Stuarts Draft, VA 24477 | 2006-07-20 |
| 1922028430 | Rosella O. Burgdorf | Family Medicine | 24 Gloucester Road, Uva Stuarts Draft Family Practice, Stuarts Draft, VA 24477 | 2006-07-20 |
| Find all providers in zip 24477 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417143660 | Amanda Guedes De Morais | Internal Medicine | 2927 Stuarts Draft Hwy, Suite 101, Stuarts Draft, VA 24477-2796 | 2007-09-21 |
| 1801186481 | Kerry C. Lanigan | Internal Medicine | 24 Gloucester Rd, Stuarts Draft, VA 24477-3321 | 2011-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113783 | Tiger Telemedicine | Internal Medicine | 1107 S Walter Reed Dr Apt 204, Arlington, VA 22204-4371 | 2020-10-30 |
| 1235737248 | Alpa Patel Md Pllc | Internal Medicine | 3020 Hamaker Ct Ste B106, Fairfax, VA 22031-2236 | 2020-10-12 |
| 1821696139 | Jennifer Gorrelick, Md, Pllc | Internal Medicine | 1800 Town Center Dr Ste 418, Reston, VA 20190-3240 | 2020-10-09 |
| 1316551237 | Pinnacle Healthcare Services, LLC | Internal Medicine | 8000 Towers Crescent Dr Ste 1350, Vienna, VA 22182-6236 | 2020-09-08 |
| 1588277396 | Amm Consulting Inc | Internal Medicine | 6123 Stegen Dr, Alexandria, VA 22310-2277 | 2020-08-31 |
| 1215549936 | Marie Hope Campbell | Internal Medicine | 5705 Redbud Highway, Honaker, VA 24260 | 2020-08-24 |
| 1376155648 | Mosaic Md, Pllc | Internal Medicine | 22365 Broderick Dr Ste 330, Sterling, VA 20166-9361 | 2020-08-18 |
| 1164030458 | Premier Health Consultants of Northern Virginia Inc | Internal Medicine | 1860 Town Center Dr Ste 260, Reston, VA 20190-5899 | 2020-07-22 |
| 1679199194 | Abyssinia Medical Center | Internal Medicine | 8200 Greensboro Dr Ste 910, Mc Lean, VA 22102-4931 | 2020-06-20 |
| 1902422587 | Naila T Rahman | Internal Medicine | 5416 3rd St S, Arlington, VA 22204-1114 | 2020-06-19 |
| Find all providers with the same taxonomy | ||||
| City | STUARTS DRAFT |
| Zip Code | 24477 |
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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.