MRS. KELLIE LINNE JARZEMBAK (NPI# 1538597000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538597000 |
| Entity Type | Individual |
| Full Name | MRS. KELLIE LINNE JARZEMBAK |
| Other Name | KELLIE LINNE BELEW |
| Practice Address |
14121 Parke Long Ct Ste 201 Chantilly VA 20151-1647 |
| Practice Telephone | 5714493582 |
| Practice Fax Number | 1866316264 |
| Mailing Telephone | 5714493582 |
| Mailing Fax Number | 1866316264 |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2013-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 299845 | OH | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
15289 | OH | 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 |
| 1437678901 | Trish Suzanne Ebel | Nurse Practitioner | 14121 Parke Long Ct Ste 201, Chantilly, VA 20151-1647 | 2017-09-15 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481787 | Heather E Allmon | Nurse Practitioner | 1200 E Broad Street, West Hospital, Richmond, VA 23298-5023 | 2020-09-15 |
| 1982214813 | Brandon Lawrence Johnson | Nurse Practitioner | 1300 E Marshall St Fl 10, Richmond, VA 23298-5028 | 2020-08-05 |
| 1245857143 | James Daniels | Nurse Practitioner | 268 Foster Rd, Danville, VA 24541-7568 | 2020-06-26 |
| 1962029827 | Benita Davis Bocanegra | Nurse Practitioner | 1424 Old Station Loop, Hardy, VA 24101-3600 | 2020-06-26 |
| 1487270450 | Courtney Bailey Jones | Nurse Practitioner | 1708 Lee Dr, Farmville, VA 23901-2399 | 2020-06-24 |
| 1902421555 | Christy Marie Clark | Nurse Practitioner | 516 Vance Hill Rd, Danville, VA 24540-6406 | 2020-06-10 |
| 1164046678 | Comprehensive Advanced Practice Nursing Care Pllc | Nurse Practitioner | 1866 E Market Street, Pmb 348, Harrisonburg, VA 22801 | 2020-06-01 |
| 1841822194 | Sharon Njuguna | Nurse Practitioner | 8201 Shannon Hill Rd, Richmond, VA 23229-4911 | 2020-02-05 |
| 1255962890 | Trisha Marie Kasap | Nurse Practitioner | 13909 Preacher Chapman Pl, Centreville, VA 20121-3531 | 2020-02-02 |
| 1023648086 | Sherrica Minor | Nurse Practitioner | 1731 Hudgins Farm Cir, Fredericksburg, VA 22408-4179 | 2020-01-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. KELLIE LINNE JARZEMBAK.
| 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.