DR. SEGUNDA YANEZ ACOSTA (NPI# 1225147341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225147341 |
| Entity Type | Individual |
| Full Name | DR. SEGUNDA YANEZ ACOSTA |
| Credential | PH.D., A.P.R.N.,B.C. |
| Practice Address |
10529 Crestwood Dr. Suite 101 Manassas VA 20109-4418 |
| Mailing Address |
601 Jefferson Davis Hwy Suite 101 Fredericksburg VA 22401-4436 |
| Practice Telephone | 7033926420 |
| Practice Fax Number | 7033926421 |
| Mailing Telephone | 5403736420 |
| Mailing Fax Number | 5403739026 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
0015000200 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BCBS FREDERICKSBUR | 057433 | 01 |
| VA | AETNA | 5487014 | 01 |
| VA | ANTHEM BCBS MANASSAS OFFI | 145346 | 01 |
| VA | TRICARE | 324116 | 01 |
| VA | CARE FIRST | H1670001 | 01 |
| Street Address |
10529 CRESTWOOD DR. SUITE 101 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20109-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151854 | Laura Zabel | Social Worker | 10220 Launch Circle #103, Manassas, VA 20109 | 2020-07-09 |
| 1659910677 | Leigh Cristi Babin-adkins | Registered Nurse | 10550 Linden Lake Plazza, Manassas, VA 20109 | 2019-12-23 |
| 1326686221 | Sophie Louise Elliot | Speech-Language Pathologist | 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 | 2019-12-11 |
| 1962978221 | Dominique Marie Cytryn | Behavior Technician | Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 | 2018-10-15 |
| 1255829008 | Lyusyena Teper | Physical Therapist | 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 | 2018-04-27 |
| 1861995060 | Mylisa L Ickes | Counselor | 7982 Donegan Drive, Manassas, VA 20109 | 2018-03-14 |
| 1336641885 | Stephanie Joanne Gamboa | Behavior Technician | 1037 Battleview Pkwy, Manassas, VA 20109 | 2018-03-01 |
| 1154822237 | Katherine Sholl | Behavior Technician | 10370 Battleview Parkway, Manassas, VA 20109 | 2018-02-23 |
| 1386168615 | Northern Virginia Checker Cab LLC | Taxi | 7631 Coppermine Dr, Manassas, VA 20109 | 2017-07-28 |
| 1407383201 | Monique Lowery | Social Worker | 7403 Emerald Dr., Manassas, VA 20109 | 2017-05-11 |
| Find all providers in zip 20109 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407868235 | Joan Barbara Howard | Clinical Nurse Specialist | 8140 Ashton Ave, Ste.100, Manassas, VA 20109-2894 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235762337 | Patricia Eubanks | Clinical Nurse Specialist | 107 Camaruge Ct, Stephens City, VA 22655-4844 | 2020-02-17 |
| 1609365592 | Billie Mitchell | Clinical Nurse Specialist | 9844 Lori Rd Ste 102, Chesterfield, VA 23832-6691 | 2018-05-07 |
| 1720243108 | Willar F. White-parson | Clinical Nurse Specialist | 1101 Malcoms Way, Virginia Beach, VA 23464-5311 | 2008-07-24 |
| 1801975495 | Francine Blain Gemmill | Clinical Nurse Specialist | 228 S Washington St, #220, Alexandria, VA 22314 | 2006-11-03 |
| 1891804845 | Maureen Harris Mccracken | Clinical Nurse Specialist | 489a Carlisle Drive, Ste B, Herndon, VA 20171-4897 | 2006-08-30 |
| 1881700896 | M. Bernadette Macdonald | Clinical Nurse Specialist | 12584 Darby Brook Ct, Woodbridge, VA 22192-2485 | 2006-08-22 |
| 1376141234 | Center for Seeking Peace | Clinical Nurse Specialist | 4410 Claiborne Sq E Ste 334, Hampton, VA 23666-2074 | 2020-10-13 |
| 1053785980 | Emlyne St Helen | Clinical Nurse Specialist | 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017 | 2015-11-16 |
| 1457785388 | Virginia Interventional Psychiatry | Clinical Nurse Specialist | 5231 Hickory Park Dr, Suite C, Glen Allen, VA 23059-2619 | 2013-08-28 |
| 1154669562 | Marilyn F Nendza | Clinical Nurse Specialist | 545 Southlake Blvd, North Chesterfield, VA 23236-3042 | 2013-01-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. SEGUNDA YANEZ ACOSTA.
| 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.