MRS. VALERIE REBECCA VITALE


Address: 2730 Prosperity Ave Ste D, Fairfax, VA 22031-4330
Phone: 7032262290

MRS. VALERIE REBECCA VITALE (NPI# 1497197453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497197453
Entity Type Individual
Full Name MRS. VALERIE REBECCA VITALE
Other Name VALERIE REBECCA BOOTH
Credential NP
Practice Address 2730 Prosperity Ave Ste D
Fairfax
VA 22031-4330
Mailing Address 13230 Maple Creek Ln
Centreville
VA 20120-6105
Practice Telephone 7032262290
Mailing Telephone 7038501072
Enumeration Date 2013-07-18
Last Update Date 2018-02-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 0001212690 VA Nursing Service Providers
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
0024171021 VA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
300 Longwood Ave, Boston, MA 021155724 6173556000

Other Providers VALERIE VITALE

NPI Name Taxonomy Address Enumeration
1598195851 Valerie Vitale Social Worker 11 Robinson St, Pottstown, PA 19464-6421 2013-11-22
1629039896 Valerie J Vitale Otolaryngology 291 Queen St, Bristol, CT 06010-6379 2006-03-29

Office Location

Street Address 2730 PROSPERITY AVE STE D
City FAIRFAX
State VA
Zip Code 22031-4330

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588865661 Aarthi Pai Vemana Pediatrics 2730 Prosperity Ave Ste D, Fairfax, VA 22031-4330 2007-05-29
1558726604 Mary Montague Nurse Practitioner 2730 Prosperity Ave Ste D, Fairfax, VA 22031-4330 2015-12-16
1306126297 Melody Noles Hawkins Pediatrics 2730 Prosperity Ave Ste D, Fairfax, VA 22031 2011-08-23

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518291749 Karlin Tate Krebs Nurse Practitioner 10657 Braddock Rd, Fairfax, VA 22032-2202 2009-09-21
1326114539 Ashley Marie Gerami Nurse Practitioner 8505 Arlington Blvd Ste 100, Fairfax, VA 22031-4630 2006-11-28
1578114286 Lindsey Ott Nurse Practitioner 8081 Innovation Park Dr Ste 765, Fairfax, VA 22031-4867 2019-09-24
1265990212 Shripriya Mohan O'neill Nurse Practitioner 8500 Executive Park Ave Ste 110, Fairfax, VA 22031-2228 2019-03-08
1598250532 Melodie Christina Wuorinen Nurse Practitioner 13135 Lee Jackson Memorial Hwy Ste 201, Fairfax, VA 22033-1907 2018-06-22
1568902567 Jessica Erin Stafford Nurse Practitioner 3023 Hamaker Ct, Fairfax, VA 22031-2207 2017-02-24
1770025876 Margaret Goss Nurse Practitioner 3023 Hamaker Ct, Fairfax, VA 22031-2207 2016-11-07
1609248012 Megan Dushek Nurse Practitioner 2730-c Prosperity Avenue, Fairfax, VA 22031 2015-10-25
1215311592 Stacey Michelle Akers Nurse Practitioner 3700 Joseph Siewick Dr, Suite 300, Fairfax, VA 22033-1744 2015-07-16
1831528991 Meghan Glassmacher Cromwell Nurse Practitioner 2730 Prosperity Ave, Ste A, Fairfax, VA 22031-4329 2013-11-08
Find all providers in FAIRFAX

Competitor

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City FAIRFAX
Zip Code 22031

Improve Information

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Dataset Information

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.

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