MRS. LAURA LEIGH WOLOK (NPI# 1184954539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184954539 |
Entity Type | Individual |
Full Name | MRS. LAURA LEIGH WOLOK |
Credential | R.D., C.D.E. |
Practice Address |
2740 Prosperity Ave Ste 200 Fairfax VA 22031-4354 |
Practice Telephone | 8775114625 |
Practice Fax Number | 7032049006 |
Mailing Telephone | 8775114625 |
Mailing Fax Number | 7032049006 |
Enumeration Date | 2010-01-07 |
Last Update Date | 2020-10-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
20320510 | VA | Nursing Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2700 Prosperity Ave Ste 100, Fairfax, VA 220314340 | 7036982505 | 7036982506 |
Street Address |
2740 PROSPERITY AVE STE 200 |
City | FAIRFAX |
State | VA |
Zip Code | 22031-4354 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801845284 | Yasser Hadj Ousman | Internal Medicine | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2006-05-10 |
1801449657 | Katherine Kline | Dietitian, Registered | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2019-07-22 |
1801383617 | James Wadell Brunson Jr. | Counselor | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2018-04-17 |
1336642180 | Nina Mesadieu | Nurse Practitioner | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2018-03-16 |
1871004952 | Jekaterina Tolstenko | Nurse Practitioner | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2017-10-17 |
1306222120 | Emily Viall | Registered Nurse | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2015-08-04 |
1255738076 | Prosperity Rx Fairfax Inc | Pharmacy | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2014-11-21 |
1366844185 | Sarah Kelly | Dietitian, Registered | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2014-09-24 |
1164733879 | Sarah Penland | Social Worker | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2010-06-28 |
1952563785 | Shwetha Thukuntla | Internal Medicine | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031 | 2008-07-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
Find all providers in zip 22031 |
Taxonomy Code | 163WD0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Diabetes Educator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306222120 | Emily Viall | Registered Nurse | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2015-08-04 |
1588824288 | Eunice E White | Registered Nurse | 1787 Allendale Fairfax Hwy, Pob 218, Fairfax, SC 29827-9133 | 2008-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
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1689103426 | Central Virginia Alliance for Community Living, Inc. | Registered Nurse | 501 12th Street, Suite A, Lynchburg, VA 24504 | 2017-06-06 |
1952848400 | Bridgitte Willis-townsell | Registered Nurse | 3109 Reserve Way, Newport News, VA 23602-5852 | 2017-01-23 |
1134677230 | Kimberly D Miller | Registered Nurse | 1415 Jefferson Park Avenue Mckim Hall Office 2099, Charlottesville, VA 22908-0001 | 2016-09-17 |
1710370838 | Potomac Wellness | Registered Nurse | 46494 Primula Ct, Sterling, VA 20165-7248 | 2015-03-13 |
1437406600 | Amy Michelle Hilderman | Registered Nurse | 943 Watertown Ct, Virginia Beach, VA 23451-4889 | 2012-08-07 |
1306121694 | Betty Roseanne Zivich | Registered Nurse | 6233 Garretson St, Burke, VA 22015-3521 | 2011-10-18 |
1912180829 | Greenspring Village Inc. | Registered Nurse | 7410 Spring Village Dr, Springfield, VA 22150-4485 | 2007-12-13 |
1184605925 | Sharron Mckinney Jackson | Registered Nurse | 9501 Farrell Rd, Ste Gc11, Dewitt Army Hospital, Ft Belvior, VA 22060 | 2005-11-09 |
1588659569 | Apothecary Solutions Inc | Registered Nurse | 207 E Main St, Remington, VA 22734-9693 | 2005-09-15 |
1750915443 | Rosa Ganey | Registered Nurse | 1200 N Howard St, Alexandria, VA 22304-1634 | 2020-03-03 |
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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.