MRS. BRANDI RENEE FOSSUM (NPI# 1265852032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265852032 |
| Entity Type | Individual |
| Full Name | MRS. BRANDI RENEE FOSSUM |
| Other Name | MS. BRANDI RENEE BURROWS |
| Credential | ACNPC-AG, RNFA, CNOR |
| Practice Address |
14605 Potomac Branch Dr Woodbridge VA 22191-3336 |
| Practice Telephone | 7034901112 |
| Practice Fax Number | 7038788735 |
| Mailing Telephone | 7034901112 |
| Mailing Fax Number | 7038788735 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 0001219358 | VA | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
0024178671 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
0001219358 | VA | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 25 Cookson Dr, Stafford, VA 225566552 | 7034030621 |
| Street Address |
14605 POTOMAC BRANCH DR |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-3336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801993852 | Paymaun M Lotfi | Specialist | 14605 Potomac Branch Dr, Suite 300, Woodbridge, VA 22191-4070 | 2006-09-20 |
| 1629621719 | Emily Danielle Cleveland | Physical Therapist | 14605 Potomac Branch Dr, Woodbridge, VA 22191-3336 | 2019-07-18 |
| 1285187062 | Karambir Deo | Physical Therapist | 14605 Potomac Branch Dr, Suite 300, Woodbridge, VA 22191-3336 | 2016-07-28 |
| 1306211347 | Kellie Wadsworth | Physical Therapist | 14605 Potomac Branch Dr, Suite 300, Woodbridge, VA 22191-3336 | 2015-12-02 |
| 1669881124 | Matthew Martonik | Physical Therapist | 14605 Potomac Branch Dr, Suite 300, Woodbridge, VA 22191-3336 | 2014-08-10 |
| 1386078723 | Allison Shields Lown | Physical Therapist | 14605 Potomac Branch Dr, Suite 200, Woodbridge, VA 22191-3336 | 2013-08-21 |
| 1194165423 | Allison L Collings | Nurse Practitioner | 14605 Potomac Branch Dr, Woodbridge, Woodbridge, VA 22191-3336 | 2013-07-01 |
| 1114272457 | Owolabi Adebayo Shonuga | Orthopaedic Surgery | 14605 Potomac Branch Dr, Woodbridge, VA 22191 | 2012-07-23 |
| 1205109154 | Physical Medicine Associates Ltd | Physical Medicine & Rehabilitation | 14605 Potomac Branch Dr, Suite 100, Woodbridge, VA 22191-3336 | 2012-02-22 |
| 1740594308 | Marinel Jacobs | Physical Therapist | 14605 Potomac Branch Dr, Suite #300, Woodbridge, VA 22191-3336 | 2010-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
| 1235617507 | Yaw P. Baidoo | Nutritionist | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 | 2018-07-30 |
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1568991974 | Patrice Whilby | Behavior Technician | 2264 York Drive Apt 302, Woodbridge, VA 22191 | 2017-06-08 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1861943763 | A1 Home Care, LLC | Home Health | 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 | 2016-10-17 |
| Find all providers in zip 22191 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174839377 | Sharon N. Addy | Nurse Practitioner | 1549 Old Bridge Rd, Woodbridge, VA 22192-2737 | 2010-08-25 |
| 1154930170 | Crystal Holt Hargrave | Nurse Practitioner | 2300 Opitz Blvd Ste G-209, Woodbridge, VA 22191-3311 | 2020-07-27 |
| 1548800659 | Apsara Aryal | Nurse Practitioner | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2020-01-07 |
| 1699310409 | Karen Elizabeth Janke | Nurse Practitioner | 14085 Crown Ct, Woodbridge, VA 22193-1458 | 2019-11-15 |
| 1659913481 | Natalie A Berstock | Nurse Practitioner | 14085 Crown Ct, Woodbridge, VA 22193-1458 | 2019-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481787 | Heather E Allmon | Nurse Practitioner | 1200 E Broad Street, West Hospital, Richmond, VA 23298-5023 | 2020-09-15 |
| 1982214813 | Brandon Lawrence Johnson | Nurse Practitioner | 1300 E Marshall St Fl 10, Richmond, VA 23298-5028 | 2020-08-05 |
| 1245857143 | James Daniels | Nurse Practitioner | 268 Foster Rd, Danville, VA 24541-7568 | 2020-06-26 |
| 1962029827 | Benita Davis Bocanegra | Nurse Practitioner | 1424 Old Station Loop, Hardy, VA 24101-3600 | 2020-06-26 |
| 1487270450 | Courtney Bailey Jones | Nurse Practitioner | 1708 Lee Dr, Farmville, VA 23901-2399 | 2020-06-24 |
| 1902421555 | Christy Marie Clark | Nurse Practitioner | 516 Vance Hill Rd, Danville, VA 24540-6406 | 2020-06-10 |
| 1164046678 | Comprehensive Advanced Practice Nursing Care Pllc | Nurse Practitioner | 1866 E Market Street, Pmb 348, Harrisonburg, VA 22801 | 2020-06-01 |
| 1841822194 | Sharon Njuguna | Nurse Practitioner | 8201 Shannon Hill Rd, Richmond, VA 23229-4911 | 2020-02-05 |
| 1255962890 | Trisha Marie Kasap | Nurse Practitioner | 13909 Preacher Chapman Pl, Centreville, VA 20121-3531 | 2020-02-02 |
| 1023648086 | Sherrica Minor | Nurse Practitioner | 1731 Hudgins Farm Cir, Fredericksburg, VA 22408-4179 | 2020-01-17 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
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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.