VIVIAN BRACERO (NPI# 1265083430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265083430 |
| Entity Type | Individual |
| Full Name | VIVIAN BRACERO |
| Practice Address |
7960 Donegan Dr Ste 217 Manassas VA 20109-8236 |
| Practice Telephone | 7033936366 |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2020-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110-006964 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7960 DONEGAN DR STE 217 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20109-8236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417274812 | Kimberly Arrington | Dermatology | 7960 Donegan Dr Ste 217, Manassas, VA 20109-8236 | 2010-04-23 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788514 | Alaina Nichole Wayland | Physician Assistant | 10180 Portsmouth Rd Apt 1, Manassas, VA 20109-8024 | 2020-10-22 |
| 1538724901 | Kelly Joan Shiei | Physician Assistant | 9001 Digges Rd Ste 105, Manassas, VA 20110-4414 | 2019-05-01 |
| 1811181068 | Beverly Joy Simoneau I | Physician Assistant | 8620 Rolling Rd, Manassas, VA 20110-3828 | 2007-08-30 |
| 1487878286 | Dyanne Victoria Liga | Physician Assistant | 9444 Taney Rd, Manassas, VA 20110-5933 | 2007-04-12 |
| 1730647371 | Jane Ehle | Physician Assistant | 8644 Sudley Rd Ste 117, Manassas, VA 20110-4425 | 2019-03-02 |
| 1154803195 | Sajana Khadgi | Physician Assistant | 6356 Hoadly Rd, Manassas, VA 20112-3422 | 2018-09-06 |
| 1063994200 | Christina Powell | Physician Assistant | 8691 Stonewall Rd, Manassas, VA 20110-4510 | 2018-09-04 |
| 1902326945 | Samantha L Diehl | Physician Assistant | 8700 Sudley Rd, Manassas, VA 20110 | 2017-06-21 |
| 1902345325 | Centers for Advanced Orthopaedics | Physician Assistant | 8525 Rolling Rd, Suite 300, Manassas, VA 20110 | 2017-02-17 |
| 1942745930 | Ben Neth | Physician Assistant | 8525 Rolling Rd, Suite 200, Manassas, VA 20110-3647 | 2016-12-29 |
| Find all providers in MANASSAS | ||||
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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.