MARQUIS LATRELL JESSIE (NPI# 1487870614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487870614 |
| Entity Type | Individual |
| Full Name | MARQUIS LATRELL JESSIE |
| Credential | M.D. |
| Practice Address |
1850 Town Center Pkwy Suite 258 Reston VA 20190-3219 |
| Practice Telephone | 7034351454 |
| Mailing Telephone | 7034351454 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2015-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A91999 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE | A91999 | 01 |
| CA | DEA | BJ9327215 | 01 |
| Street Address |
1850 TOWN CENTER PKWY SUITE 258 |
| City | RESTON |
| State | VA |
| Zip Code | 20190-3219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386646420 | Robert A. Shor | Internal Medicine | 1850 Town Center Pkwy, Ste 550, Reston, VA 20190-3219 | 2005-06-01 |
| 1295357507 | Karina Manicka | Registered Nurse | 1850 Town Center Pkwy, Reston, VA 20190-3204 | 2020-05-08 |
| 1134777964 | Sharon Kim | Nurse Practitioner | 1850 Town Center Pkwy, Reston, VA 20190-3204 | 2019-08-26 |
| 1538650999 | Reston Hospital Center, LLC | Rehabilitation Unit | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2018-05-22 |
| 1437656014 | Rithika Mohan | Nurse Anesthetist, Certified Registered | 1850 Town Center Pkwy, Reston, VA 20190 | 2018-04-10 |
| 1447753223 | Cara Elizabeth Butler | Registered Nurse | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2018-03-17 |
| 1669974101 | Rachel Ellenbogen | Physician Assistant | 1850 Town Center Pkwy, Reston, VA 20190-3204 | 2018-02-28 |
| 1669972626 | Meghan Squier | Nurse Anesthetist, Certified Registered | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2018-02-16 |
| 1316470198 | Dana Alsaadi | Internal Medicine | 1850 Town Center Pkwy, Reston, VA 20190-3298 | 2017-04-07 |
| 1548617863 | Reston Hospital Center, LLC | Radiologic Technologist | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2016-05-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740568591 | Optima Services, Pllc | Specialist | 11440 Commerce Park Drive, Ll-4, Reston, VA 20191-1555 | 2011-07-28 |
| 1053638478 | Paula Towson Mastbrook | Specialist | 11250 Roger Bacon Dr Ste 23, Reston, VA 20190-5202 | 2010-04-25 |
| 1801956057 | Linda Hays Mosely | Specialist | 1860 Town Center Dr Ste 220, Reston, VA 20190-5905 | 2006-12-11 |
| 1528177516 | Byron D. Poindexter | Specialist | 1825 Samuel Morse Dr, Reston, VA 20190-5317 | 2006-08-30 |
| 1871508366 | Neuroscience Consultants, Plc | Specialist | 12007 Sunrise Valley Dr, Suite 120, Reston, VA 20191-3479 | 2006-07-31 |
| 1407874621 | Ahmad Osman Noori | Specialist | 1860 Town Center Drive, Suite 280, Reston, VA 20190-5896 | 2006-07-17 |
| 1811930829 | Namrata Raj Sinha | Specialist | 1860 Town Center Dr., Suite 140, Reston, VA 20190 | 2006-06-14 |
| 1427032564 | Richard L Stokes IIi | Specialist | 1830 Town Center Dr, Suite 207, Reston, VA 20190-3292 | 2005-12-02 |
| 1306211370 | Urology Center-usa Inc | Specialist | 1830 Town Center Dr, Suite 301, Reston, VA 20190-3292 | 2015-12-02 |
| 1184012957 | Benchmark Health Systems, LLC | Specialist | 1850a Town Center Pkwy, Ste 410, Reston, VA 20190-5851 | 2015-01-02 |
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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.