MR. LUIS ALBERTO PEDEMONTE


Address: 3300 Gallows Rd, Original Building, 2nd Floor, Falls Church, VA 22042-3307
Phone: 7037764958

MR. LUIS ALBERTO PEDEMONTE (NPI# 1568866671) 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) 1568866671
Entity Type Individual
Full Name MR. LUIS ALBERTO PEDEMONTE
Credential ACNP
Practice Address 3300 Gallows Rd
Original Building, 2nd Floor
Falls Church
VA 22042-3307
Mailing Address 45572 Silver Pond Sq
Apt 201
Potomac Falls
VA 20165-6589
Practice Telephone 7037764958
Mailing Telephone 5712143724
Enumeration Date 2014-10-17
Last Update Date 2014-10-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
0024171985 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3300 GALLOWS RD
ORIGINAL BUILDING, 2ND FLOOR
City FALLS CHURCH
State VA
Zip Code 22042-3307

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639177942 Bestpractices, Inc. Emergency Medicine 3300 Gallows Rd, Falls Church, VA 22042-3307 2005-07-11
1659971216 Mahsa Roohani Nurse Practitioner 3300 Gallows Rd, Falls Church, VA 22042-3300 2020-10-31
1861092330 Jessica Merberg Genetic Counselor, MS 3300 Gallows Rd, Falls Church, VA 22042-3300 2020-10-26
1366042780 Kirsten Smith Nurse Practitioner 3300 Gallows Rd, Falls Church, VA 22042-3307 2020-10-26
1629677026 Laurie Brutus Registered Nurse 3300 Gallows Rd, Falls Church, VA 22042-3307 2020-10-19
1184223539 Mirnesa Tikvina Registered Nurse 3300 Gallows Rd, Falls Church, VA 22042-3307 2020-10-17
1073111779 Kirsten Kadlec Nurse Anesthetist, Certified Registered 3300 Gallows Rd, Falls Church, VA 22042-3300 2020-10-14
1114525953 Jennifer Yung Registered Nurse 3300 Gallows Rd, Falls Church, VA 22042-3307 2020-10-14
1720685522 Laura Musser Registered Nurse 3300 Gallows Rd, Falls Church, VA 22042-3307 2020-10-05
1154938926 Heather Elizabeth Carvalho Nurse Practitioner 3300 Gallows Rd, Falls Church, VA 22042-3307 2020-09-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982220190 Alicia Derusso St. Thomas Student in an Organized Health Care Education/Training Program Obgyn Admin Suite 2nd Floor South Tower, 3300 Gallows Rd, Falls Church, VA 22042 2020-06-23
1316574320 Marina A Kalugina Radiologic Technologist 3330 Gallows Rd, Falls Church, VA 22042 2020-03-27
1992347645 Home Injections Plus LLC Registered Nurse 7598 Lakeside Village Dr, Unit E, Falls Church, VA 22042 2019-10-15
1205493129 Meredith Hooover Obstetrics & Gynecology 3300 Gallows Rd Falls Church, Va 22042 - 3307, Arlington, VA 22042 2019-05-27
1699269076 Ibrahim Tora Student in an Organized Health Care Education/Training Program Department of Medicine, Npt-2, 3300 Gallows Rd, Falls Church, VA 22042 2018-06-19
1528559960 Robert Patton Student in an Organized Health Care Education/Training Program Inova Fairfax Medical Campus, 3300 Gallows Road, Department of Medicine, Npt-2, Falls Church, VA 22042 2018-05-22
1144726951 Helene M Sterbling Student in an Organized Health Care Education/Training Program Inova Fairfax Medical Campus, 3300 Gallows Road, Falls Church, VA 22042 2018-04-02
1659876530 Cassandra Lyn Presti Obstetrics & Gynecology 3300 Gallows Rd Fl 2, Falls Church, VA 22042 2018-03-24
1225530157 Sara Sigler Audiologist 3036 Graham Rd - Main Office Suite, Graham Road Community Building, Falls Church, VA 22042 2018-03-07
1003314949 Ameriwell Clinics Falls Church, LLC Chiropractor 6521 Arlington Blvd Suite 402, Falls Church, VA 22042 2018-01-25
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154938926 Heather Elizabeth Carvalho Nurse Practitioner 3300 Gallows Rd, Falls Church, VA 22042-3307 2020-09-25
1437791753 Benjamin Drew Tator Nurse Practitioner 3300 Gallows Rd, Falls Church, VA 22042-3307 2019-10-09
1194371211 Irene Bonita Green Nurse Practitioner 3302 Gallows Rd, Falls Church, VA 22042-3353 2019-08-14
1629536115 Katharine Thiemer Nurse Practitioner 3300 Gallows Rd, Falls Church, VA 22042-3300 2019-03-04
1073034856 Drew Joseph Martin Nurse Practitioner 3300 Gallows Rd, Cardiac Surgery Pa Office, Falls Church, VA 22042 2017-06-30
1669912143 Susan Audet Nurse Practitioner 3300 Gallows Rd, Falls Church, VA 22042-3307 2017-03-02
1700328234 Lindsay May Lewis Nurse Practitioner 2900 Telestar Ct, Falls Church, VA 22042-1206 2016-11-15
1235581646 Sean Amedeo Nurse Practitioner 3300 Gallows Rd, Falls Church, VA 22042-3307 2016-07-08
1689035446 Kerry Gallagher Nurse Practitioner 3300 Gallows Rd, Falls Church, VA 22042-3307 2016-03-08
1386057701 Thomas Brad Lee Nurse Practitioner 3300 Gallows Rd, Falls Church, VA 22042-3307 2014-06-03
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Competitor

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City FALLS CHURCH
Zip Code 22042

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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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