DR. KIMBERLY K NAAHIELUA (NPI# 1487692422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487692422 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY K NAAHIELUA |
| Credential | M.D. |
| Practice Address |
3600 Joseph Siewick Dr Fairfax VA 22033-1709 |
| Mailing Address |
916 Eastbrooke Ln Rochester NY 14618-5202 |
| Practice Telephone | 7033913600 |
| Mailing Telephone | 5855070993 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
0101239153 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
3600 JOSEPH SIEWICK DR |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854250 | Maria Lucille Fain | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2005-07-14 |
| 1679171847 | Lucy Holden Cusack | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-10-11 |
| 1346854189 | Kathleen Nicole Jennings | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-31 |
| 1730792649 | Amy Christine Byerle | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-29 |
| 1184235863 | Nancy Lynn Forrest | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-14 |
| 1639780323 | Laura Ann Cintorino | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-14 |
| 1366053332 | Elizabeth Abando | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-13 |
| 1124639992 | Sarah A Mcdonald | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-13 |
| 1134633597 | Previtha Sanna Mathews | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2017-11-21 |
| 1427590629 | Qian Feng | Specialist/Technologist, Other | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2016-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174143580 | Calvin Nguyen | Emergency Medicine | 12099 Government Center Pkwy, Fairfax, VA 22035-5501 | 2020-04-26 |
| 1649203605 | Fair Oaks Emergency Physicians, Pllc | Emergency Medicine | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2006-07-09 |
| 1437199171 | Jane Lee | Emergency Medicine | 3600 Joseph Siewick Dr, 4th Floor - Hospital Medicine, Fairfax, VA 22033-1709 | 2006-06-08 |
| 1245278258 | Michael J Born | Emergency Medicine | 10306 Eaton Pl, Suite 180, Fairfax, VA 22030-2201 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114545928 | Raven Matthews | Emergency Medicine | 213 18th St Se, Roanoke, VA 24013-1311 | 2020-07-08 |
| 1285257915 | Timothy Horner | Emergency Medicine | 3900 Lee Hwy, Arlington, VA 22207-3724 | 2020-05-28 |
| 1548890304 | Enoch Agyemang | Emergency Medicine | 146 Short Branch Rd, Stafford, VA 22556-4642 | 2020-01-21 |
| 1073800710 | Moses Tucker Laffitte Iv | Emergency Medicine | 800 Gresham Drive, Norfolk, VA 23507 | 2011-07-01 |
| 1629139969 | Eugene Francis Delaune IIi | Emergency Medicine | 7804 Accotink Pl, Alexandria, VA 22308-1226 | 2006-12-12 |
| 1225103567 | Daniel T Threat Jr. | Emergency Medicine | 4619 Gregorys Charter Ct, Richmond, VA 23236-1062 | 2006-11-21 |
| 1801814678 | Scott Alan Wright | Emergency Medicine | 961 E Stuart Dr, Galax, VA 24333-2407 | 2006-07-18 |
| 1124055777 | James L Brewer IIi | Emergency Medicine | One Arh Ln, Low Moor, VA 24457 | 2006-06-27 |
| 1073593885 | Yusuf Hameed Khan | Emergency Medicine | 11484 Washington Paza W, Suite #300, Reston, VA 20190 | 2006-01-18 |
| 1912545195 | Eleanor Leigh Jordan | Emergency Medicine | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2019-12-18 |
| Find all providers with the same taxonomy | ||||
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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.