JEANNIE NGOC-THAO TRAN (NPI# 1437549995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437549995 |
| Entity Type | Individual |
| Full Name | JEANNIE NGOC-THAO TRAN |
| Practice Address |
2905 District Ave Ste 400 Fairfax VA 22031-2278 |
| Mailing Address |
2828 New Providence Ct Falls Church VA 22042-4432 |
| Practice Telephone | 5715333751 |
| Mailing Telephone | 5712499823 |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 0203014670 | VA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | VA BOARD OF PHARMACY | 0203014670 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306302575 | Jeannie Tran | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-02-13 |
| 1063917003 | Jeannie Tran | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz Ste 7501, Los Angeles, CA 90095-8358 | 2018-03-29 |
| 1790138329 | Jeannie Tran | Optometrist | 10002 Se 240th St, Kent, WA 98031-4839 | 2016-07-19 |
| Street Address |
2905 DISTRICT AVE STE 400 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-2278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164898375 | Amanda Mazzu | Pharmacist | 2905 District Ave Ste 400, Fairfax, VA 22031-2278 | 2015-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003445016 | Maria Katherine Shafer | Student in an Organized Health Care Education/Training Program | 295 Scenic Rd, Fairfax, CA 94930-1525 | 2020-04-02 |
| 1235773482 | Kayla Lara | Student in an Organized Health Care Education/Training Program | 9902 Commonwealth Blvd, Fairfax, VA 22032-2407 | 2019-10-31 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1649833997 | Meghan Paige Robinson | Student in an Organized Health Care Education/Training Program | 9940 Main St Ste 201, Fairfax, VA 22031-3917 | 2019-04-22 |
| 1639638133 | Mikayla Louise Moyer | Student in an Organized Health Care Education/Training Program | 500 Fairfax Rd, Fairfax, IA 52228-9704 | 2019-03-14 |
| 1871062513 | Mazin Ibrahim Awad Abdelmageed | Student in an Organized Health Care Education/Training Program | 9290 Tower Side Dr Apt 110, Fairfax, VA 22031-6035 | 2018-11-23 |
| 1477057396 | Reza Pishdad | Student in an Organized Health Care Education/Training Program | 11352 Aristotle Dr Apt 406, Fairfax, VA 22030-0925 | 2018-03-23 |
| 1184127961 | Elizabeth Lucius | Student in an Organized Health Care Education/Training Program | 8301 Arlington Blvd Ste 302, Fairfax, VA 22031-2902 | 2018-03-17 |
| 1114326840 | Emily Mills | Student in an Organized Health Care Education/Training Program | 11240 Waples Mill Rd Ste 101, Fairfax, VA 22030-6078 | 2014-08-19 |
| 1598179921 | Ashley Oden | Student in an Organized Health Care Education/Training Program | 11240 Waples Mill Rd., Ste.101, Fairfax, VA 22030 | 2014-06-13 |
| Find all providers in FAIRFAX | ||||
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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.