MRS. TRISH SUZANNE EBEL (NPI# 1437678901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437678901 |
| Entity Type | Individual |
| Full Name | MRS. TRISH SUZANNE EBEL |
| Credential | NP |
| Practice Address |
14121 Parke Long Ct Ste 201 Chantilly VA 20151-1647 |
| Mailing Address |
14121 Parke Long Ct Chantilly VA 20151-1647 |
| Practice Telephone | 8552471940 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN281858 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14121 PARKE LONG CT STE 201 |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20151-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902093529 | Melina Alcivar | Nurse Practitioner | 14121 Parke Long Ct Ste 201, Chantilly, VA 20151-1647 | 2007-09-27 |
| 1912418757 | Lori Haugh | Nurse Practitioner | 14121 Parke Long Ct Ste 201, Chantilly, VA 20151-1647 | 2017-10-19 |
| 1124537881 | Cedilia Silva | Nurse Practitioner | 14121 Parke Long Ct Ste 201, Chantilly, VA 20151-1647 | 2017-09-26 |
| 1093224859 | Michelle Marie Dresback | Nurse Practitioner | 14121 Parke Long Ct Ste 201, Chantilly, VA 20151-1647 | 2017-09-25 |
| 1609385574 | Rafael Angel Soriano Sr. | Nurse Practitioner | 14121 Parke Long Ct Ste 201, Chantilly, VA 20151-1647 | 2017-09-23 |
| 1407374382 | Mercy Mkorombindo | Nurse Practitioner | 14121 Parke Long Ct Ste 201, Chantilly, VA 20151-1647 | 2017-08-31 |
| 1790201523 | Advance Health Ipa, LLC | Exclusive Provider Organization | 14121 Parke Long Ct Ste 201, Chantilly, VA 20151-1647 | 2017-08-14 |
| 1952825341 | Jennifer Ranee Jaswal | Nurse Practitioner | 14121 Parke Long Ct Ste 201, Chantilly, VA 20151-1647 | 2017-07-28 |
| 1407379134 | Naomi Jepkorir Mutai | Nurse Practitioner | 14121 Parke Long Ct Ste 201, Chantilly, VA 20151-1647 | 2017-07-25 |
| 1831612597 | Cassandra Wilson | Nurse Practitioner | 14121 Parke Long Ct Ste 201, Chantilly, VA 20151-1647 | 2017-07-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635695 | Sabah Home Care | Home Health | 4221 Walney Rd Suite 500 C, Chantilly, VA 20151 | 2020-06-30 |
| 1205485976 | Huang Wellness Center LLC | Acupuncturist | 14145 Robet Paris Ct, Chantilly, VA 20151 | 2019-09-05 |
| 1376032714 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 14337 Newbrook Drive, Suite 400, Chantilly, VA 20151 | 2018-05-01 |
| 1013405950 | Chantilly Modern Dentistry, PC | Dentist | 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 | 2018-04-26 |
| 1972090389 | Wegmans Food Markets, Inc. | Pharmacy | 14361 Newbrook Dr., Chantilly, VA 20151 | 2018-04-20 |
| 1922526714 | Cynthia Anne Biggar | Specialist/Technologist | 13613 Bare Island Drive, Chantilly, VA 20151 | 2017-09-01 |
| 1497297717 | Rebekah Lee Hinders | Nurse Practitioner | 3914 Centrevill Rd, Suite 101, Chantilly, VA 20151 | 2016-11-17 |
| 1043761117 | Victoria Ranti Balogun | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-10-24 |
| 1619424694 | Erin Booker | Nurse Practitioner | Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-09-07 |
| 1326419078 | Amparo Emilia Kidd | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2015-10-07 |
| Find all providers in zip 20151 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902093529 | Melina Alcivar | Nurse Practitioner | 14121 Parke Long Ct Ste 201, Chantilly, VA 20151-1647 | 2007-09-27 |
| 1205477791 | Rosy Pradhan | Nurse Practitioner | 14133 Robert Paris Ct, Chantilly, VA 20151-4203 | 2019-10-05 |
| 1568983120 | Valorie Ann Grant | Nurse Practitioner | 14121 Parke Long Ct Ste 201, Chantilly, VA 20151-1647 | 2017-07-03 |
| 1386187540 | Integrative Regional Medical Center, P.C. | Nurse Practitioner | 14290 Sullyfield Cir, Suite 100, Chantilly, VA 20151-4000 | 2016-11-21 |
| 1750665196 | Christy Michelle Harshberger | Nurse Practitioner | 24801 Pinebrook Rd Ste 110, Chantilly, VA 20152-4113 | 2011-10-04 |
| 1568510469 | Dorothy L Lawless | Nurse Practitioner | 14121 Parke Long Ct, Chantilly, VA 20151 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445846 | Stephanie Leann Ball | Nurse Practitioner | 655 Belfast School Rd, Cedar Bluff, VA 24609-8217 | 2020-10-24 |
| 1548867526 | Pamela Jean Scholl | Nurse Practitioner | 3704 Aquia Dr, Stafford, VA 22554-2705 | 2020-10-02 |
| 1356948483 | Dawn Aimee Fisher | Nurse Practitioner | 2187 Hunters Lodge Rd, Troy, VA 22974-4344 | 2020-10-01 |
| 1952918880 | Amesha Renee Custis | Nurse Practitioner | 2647 Jason Ave, Norfolk, VA 23509-1073 | 2020-09-24 |
| 1790390938 | Premier Healthcare Service, LLC | Nurse Practitioner | 1015 Eden Way N Ste A, Chesapeake, VA 23320-2787 | 2020-09-14 |
| 1871108233 | Ricky Brockington | Nurse Practitioner | 19124 Lakeside Dr, Courtland, VA 23837-2634 | 2020-09-12 |
| 1578178422 | Behishta Ishanzai | Nurse Practitioner | 7500 Geoint Dr, Springfield, VA 22150-7500 | 2020-09-08 |
| 1467066795 | Colleen Marie Gleason | Nurse Practitioner | 2522 S Arlington Mill Dr Apt D, Arlington, VA 22206-4033 | 2020-09-03 |
| 1639782659 | Wendy Renee Easter | Nurse Practitioner | 20720 Cross Timber Dr, Ashburn, VA 20147-4470 | 2020-08-28 |
| 1558974105 | Crystal Hermano | Nurse Practitioner | 5522 Swift Current Ct, Burke, VA 22015-1851 | 2020-08-24 |
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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.