JUDITH ANNE DERRICO (NPI# 1386639144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386639144 |
| Entity Type | Individual |
| Full Name | JUDITH ANNE DERRICO |
| Other Name | JUDITH ANNE FLYNN |
| Credential | CRNP |
| Practice Address |
46440 Benedict Dr Ste 208 Sterling VA 20164-6602 |
| Practice Telephone | 7034443660 |
| Practice Fax Number | 7034443569 |
| Mailing Telephone | 7034443660 |
| Mailing Fax Number | 7034443569 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0024092254 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
46440 BENEDICT DR STE 208 |
| City | STERLING |
| State | VA |
| Zip Code | 20164-6602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528060787 | Thomas P Mcgorry | Pediatrics | 46440 Benedict Dr, Ste 206, Sterling, VA 20164-6602 | 2005-06-01 |
| 1861934234 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 46440 Benedict Dr, Suite 108, Sterling, VA 20164-6602 | 2016-11-16 |
| 1043752413 | American Current Care Pa | Clinic/Center | 46440 Benedict Dr, Suite 108, Sterling, VA 20164-6602 | 2016-11-16 |
| 1104371731 | E R Hughes Enterprises Inc | Dentist | 46440 Benedict Dr, # 201, Sterling, VA 20164-6602 | 2016-08-24 |
| 1750735544 | Loudoun Medical Group PC | Physical Therapist | 46440 Benedict Dr, Suite 108, Sterling, VA 20164-6602 | 2016-04-18 |
| 1417317553 | Capital Diagnostic Laboratory LLC | Clinical Medical Laboratory | 46440 Benedict Dr, Suite 104, Sterling, VA 20164-6602 | 2016-03-02 |
| 1275929564 | Digitrace Care Services, Inc. | Clinic/Center | 46440 Benedict Dr, Suite 103, Sterling, VA 20164 | 2015-04-13 |
| 1518202001 | Yi Zhang | Nurse Practitioner | 46440 Benedict Dr, Suite 107, Sterling, VA 20164-6602 | 2012-12-10 |
| 1275842387 | Loudoun Community Health Center | Clinic/Center | 46440 Benedict Dr, Suite 208, Sterling, VA 20164-6602 | 2010-10-07 |
| 1356670541 | Erin Elizabeth Collier | Nurse Practitioner | 46440 Benedict Dr, Suite 107, Sterling, VA 20164-6602 | 2009-12-17 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1255962239 | Ying Jiu Liu | Acupuncturist | 45665 W Church Rd #110 Stering, Stering, VA 20164 | 2020-01-29 |
| 1417599986 | Nab Homecare, Inc. | In Home Supportive Care | 45640 Willow Pond Plaza, Suite 100, Sterling, VA 20164 | 2019-10-16 |
| 1962905323 | Grace A Oluwadiya | Registered Nurse | 21335 Signal Hill Plaza, Suite 270, Sterling, VA 20164 | 2018-03-13 |
| 1922468602 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 21399 Epicerie Plaza, Sterling, VA 20164 | 2016-02-24 |
| 1942625603 | Totalmobility LLC | Durable Medical Equipment & Medical Supplies | 201 Davis Drive, Suite Nn, Sterling, VA 20164 | 2014-03-04 |
| 1346689189 | Traci Collier | Pharmacist | 22375 Davis Dr, Sterling, VA 20164 | 2013-06-14 |
| 1770842536 | Costco Pharmacy 218 | Clinic/Center | 21398 Price Cascades Plaza, Sterling, VA 20164 | 2012-05-14 |
| 1922371426 | Totalmobility, LLC | Durable Medical Equipment & Medical Supplies | 111k Carpenter Drive, Sterling, VA 20164 | 2012-02-14 |
| 1750676789 | Sheikh M Rasul | Pharmacist | 20600 Great Falls Plaza, Sterling, VA 20164 | 2011-06-17 |
| 1932260114 | Veena Railan | Family Medicine | 101 E.holly Avenue, Unit 9, Sterling, VA 20164 | 2006-12-12 |
| Find all providers in zip 20164 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999668 | Sharon Annette Mclaurin | Nurse Practitioner | 23320 Rogerdale Pl, Sterling, VA 20166-2143 | 2020-10-14 |
| 1831182484 | Hope Ann Marshall | Nurse Practitioner | 2 Pidgeon Hill Dr, Ste 400, Sterling, VA 20165-6145 | 2005-08-30 |
| 1992356034 | Christine M Kandra | Nurse Practitioner | 20 Pidgeon Hill Dr Ste 208, Sterling, VA 20165-6134 | 2019-09-20 |
| 1518202001 | Yi Zhang | Nurse Practitioner | 46440 Benedict Dr, Suite 107, Sterling, VA 20164-6602 | 2012-12-10 |
| 1528345642 | Jennifer M Eide | Nurse Practitioner | 101 E Miller Rd, Sterling, IL 61081 | 2011-11-03 |
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| 1942773908 | Tammy Jean Davidson | Nurse Practitioner | 1077 Saint Clairs Creek Rd, Chilhowie, VA 24319-5893 | 2019-01-02 |
| 1891266847 | Sarantuya Sukhee-hungerford | Nurse Practitioner | 102 Elden St Ste 16, Herndon, VA 20170-4839 | 2018-12-16 |
| 1174092894 | Advanced Practice Services, LLC | Nurse Practitioner | 362 Pleasant Pl, Charlottesville, VA 22911-2212 | 2018-11-26 |
| 1912472713 | Elina Sergeyevna Reynolds | Nurse Practitioner | 221 Mount Pleasant Rd Unit A-1, Chesapeake, VA 23322-4155 | 2018-10-08 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1437648086 | Restoration Behavioral Health Services | Nurse Practitioner | 615 N Birdneck Rd Ste 109, Virginia Beach, VA 23451-6368 | 2018-05-08 |
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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.