NICOLE TERESA GOITIA (NPI# 1578124947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578124947 |
| Entity Type | Individual |
| Full Name | NICOLE TERESA GOITIA |
| Credential | MSN, AGPCNP-BC |
| Practice Address |
3650 Joseph Siewick Dr Ste 204 Fairfax VA 22033-1712 |
| Mailing Address |
1601 Lupine Den Ct Vienna VA 22182-2167 |
| Practice Telephone | 7032640521 |
| Mailing Telephone | 7034074922 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 0024177770 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0024177770 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
0024177770 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
0024177770 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3620 Joseph Siewick Dr Ste 306, Fairfax, VA 220331760 | 7032640521 |
| Street Address |
3650 JOSEPH SIEWICK DR STE 204 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144713470 | Adrienne Michelle Lomaglio | Registered Nurse | 3650 Joseph Siewick Dr Ste 204, Fairfax, VA 22033-1712 | 2018-06-12 |
| 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 | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487095311 | Injung Kim | Nurse Practitioner | 10801 Main St Ste 700, Fairfax, VA 22030-4745 | 2013-07-08 |
| 1992061642 | Laura Ann Middleton | Nurse Practitioner | 12585 Fair Lakes Cir, Fairfax, VA 22033-3822 | 2012-04-06 |
| 1093027542 | Thomas Edward Dodsworth | Nurse Practitioner | 41 Azalea Ave, Fairfax, CA 94930-1527 | 2010-07-12 |
| 1205152188 | Wendy M Roberts | Nurse Practitioner | 11166 Fairfax Blvd Ste 405, Fairfax, VA 22030-5017 | 2010-04-16 |
| 1073702387 | Irina M Nikitina | Nurse Practitioner | 2826 Old Lee Hwy Ste 330, Fairfax, VA 22031-4347 | 2007-10-23 |
| 1104028158 | Maureen B Lozzi | Nurse Practitioner | 3650 Joseph Siewick Dr Ste 107, Fairfax, VA 22033-1711 | 2007-06-01 |
| 1295896769 | Barbara A Shaver | Nurse Practitioner | 9683-a Main St, Fairfax, VA 22031-3744 | 2006-12-12 |
| 1962519926 | Pamela Williams Parsons | Nurse Practitioner | 8503 Arlington Blvd Ste 140, Fairfax, VA 22031-4629 | 2006-08-24 |
| 1295724276 | Loren Anne Ray Tyson | Nurse Practitioner | 8505 Arlington Blvd, Suite 320, Inova Cardiac Diagnostic Services, Fairfax, VA 22031 | 2005-10-21 |
| 1598313637 | Sandra Wright | Nurse Practitioner | 10701 Main St, Fairfax, VA 22030-6904 | 2019-09-02 |
| Find all providers in FAIRFAX | ||||
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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.