TRACY TARTAGLIONE (NPI# 1285104216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285104216 |
| Entity Type | Individual |
| Full Name | TRACY TARTAGLIONE |
| Other Name | TRACY MICHNIK |
| Credential | PA-C |
| Practice Address |
13350 Franklin Farm Rd Ste 220 Herndon VA 20171-4095 |
| Mailing Address |
Po Box 75868 Baltimore MD 21275-5868 |
| Practice Telephone | 7038105204 |
| Practice Fax Number | 7038105411 |
| Mailing Telephone | 7033836469 |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110001401 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13350 FRANKLIN FARM RD STE 220 |
| City | HERNDON |
| State | VA |
| Zip Code | 20171-4095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306088687 | Nathan William Coleman | Orthopaedic Surgery | 13350 Franklin Farm Rd Ste 220, Herndon, VA 20171-4095 | 2009-04-01 |
| 1295964971 | Johnathan Alexander Bernard | Orthopaedic Surgery | 13350 Franklin Farm Rd Ste 220, Herndon, VA 20171-4095 | 2009-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417587312 | Herndon Modern Dentistry, PC | Dentist | 2537 John Milton Dr., Reston, VA 20171 | 2020-01-20 |
| 1689196529 | Susan Ngatia | Occupational Therapist | 2978 Centerville Rd., Herndon, VA 20171 | 2017-07-12 |
| 1932634375 | Angelic Home Care,llc | Home Health | 13800 Coppermine Road, Suite 175, Herndon, VA 20171 | 2017-04-24 |
| 1952855348 | Attentive Home Care Inc | Registered Nurse | 13578 Cedar Run Ln, Herndon, VA 20171 | 2016-08-15 |
| 1336531391 | Daniela Maria Querubin Mesina | Physical Therapist | 2978 Centreville Rd, Herndon, VA 20171 | 2015-02-28 |
| 1740602291 | Herndon Dental Arts At Woodland Park, Pllc | Dentist | 12973 Highland Crossing Drive, Ste B, Herndon, VA 20171 | 2014-01-16 |
| 1295165801 | Grace Greenan | Counselor | 13600 Frying Pan Road, Herndon, VA 20171 | 2013-11-18 |
| 1356770390 | Eunjoo Lee | Behavioral Analyst | 12936 Cedar Glen Lane, Herndon, VA 20171 | 2013-11-08 |
| 1043539919 | Wesam Hassen Moustafa Hussein | Internal Medicine | 13326 Horsepen Woods Lane, Herndon, VA 20171 | 2010-05-18 |
| 1740516996 | Fadi Alhrashi | Dentist | 13609 Flying Squirrel Dr, Herndon, VA 20171 | 2009-10-22 |
| Find all providers in zip 20171 | ||||
| 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 |
|---|---|---|---|---|
| 1649894908 | Jean Evans | Physician Assistant | 3103 Dower House Dr, Herndon, VA 20171-2240 | 2020-06-02 |
| 1831750017 | Cindy Nguyen | Physician Assistant | 13628 Old Dairy Rd, Herndon, VA 20171-4015 | 2019-06-27 |
| 1730742594 | Deepika Mathialagan | Physician Assistant | 590 Grove St, Herndon, VA 20170-4725 | 2019-04-17 |
| 1407220353 | Srividya Thotakura | Physician Assistant | 13158 Ruby Lace Ct, Herndon, VA 20171-2337 | 2015-11-16 |
| 1912202664 | Fella Ezzekmi-aksouh | Physician Assistant | 201 Elden St, Ste #101, Herndon, VA 20170-4853 | 2011-01-11 |
| 1376868190 | Weiyu Xie | Physician Assistant | 722 A Grant Street, Herndon, VA 20170-4533 | 2010-04-05 |
| 1386668572 | Lara Elizabeth Johnson | Physician Assistant | 13203 Ladybank Ln, Herndon, VA 20171-4031 | 2006-07-27 |
| 1457842924 | Shelby Ballaron | Physician Assistant | 171 Elden St Ste 3b, Herndon, VA 20170-4875 | 2018-05-21 |
| 1497992366 | Jennifer Blanding | Physician Assistant | 150 Elden St, Suite 240, Herndon, VA 20170-4861 | 2009-01-14 |
| 1184884454 | Amy Lynn Keefer | Physician Assistant | 1244 State Route 225, Herndon, PA 17830-7324 | 2008-06-11 |
| Find all providers in HERNDON | ||||
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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.