COMPASSUS OP OF VIRGINIA LLC (NPI# 1215487483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215487483 |
| Entity Type | Organization |
| Organization Name | COMPASSUS OP OF VIRGINIA LLC |
| Other Organization Name | COMPASSUS - RESTON |
| Practice Address |
14900 Conference Center Dr Ste 170 Chantilly VA 20151-3831 |
| Mailing Address |
10 Cadillac Dr Ste 400 Brentwood TN 37027-1001 |
| Practice Telephone | 7034682740 |
| Practice Fax Number | 7037548026 |
| Mailing Telephone | 6153777022 |
| Mailing Fax Number | 5715217249 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2020-06-09 |
| Authorized Official Name | RUSSELL ADKINS (SVP GENERAL COUNSEL) |
| Authorized Official Telephone | 6153095668 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Compassus - Reston | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689119877 | Compassus Op of Virginia LLC | Internal Medicine | 14900 Conference Center Dr Ste 170, Chantilly, VA 20151-3831 | 2016-12-27 |
| 1043754708 | Compassus Op of Virginia LLC | Hospice Care, Community Based | 12018 Sunrise Valley Dr, Ste 400, Reston, VA 20191-3432 | 2016-12-14 |
| Street Address |
14900 CONFERENCE CENTER DR STE 170 |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20151-3831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356995088 | Dana Gelb | Nurse Practitioner | 14900 Conference Center Dr Ste 170, Chantilly, VA 20151-3877 | 2019-07-31 |
| 1689119877 | Compassus Op of Virginia LLC | Internal Medicine | 14900 Conference Center Dr Ste 170, Chantilly, VA 20151-3831 | 2016-12-27 |
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|---|---|---|---|---|
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| 1376032714 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 14337 Newbrook Drive, Suite 400, Chantilly, VA 20151 | 2018-05-01 |
| 1013405950 | Chantilly Modern Dentistry, PC | Dentist | 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 | 2018-04-26 |
| 1972090389 | Wegmans Food Markets, Inc. | Pharmacy | 14361 Newbrook Dr., Chantilly, VA 20151 | 2018-04-20 |
| 1922526714 | Cynthia Anne Biggar | Specialist/Technologist | 13613 Bare Island Drive, Chantilly, VA 20151 | 2017-09-01 |
| 1497297717 | Rebekah Lee Hinders | Nurse Practitioner | 3914 Centrevill Rd, Suite 101, Chantilly, VA 20151 | 2016-11-17 |
| 1043761117 | Victoria Ranti Balogun | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-10-24 |
| 1619424694 | Erin Booker | Nurse Practitioner | Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-09-07 |
| 1326419078 | Amparo Emilia Kidd | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2015-10-07 |
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| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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|---|---|---|---|---|
| 1679122915 | Loving Angel's Health Care LLC | Hospice Care, Community Based | 24958 Castleton Dr, Chantilly, VA 20152-4392 | 2019-09-10 |
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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.