HAELEE DUREN PETTINGILL COHEN (NPI# 1639701592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639701592 |
| Entity Type | Individual |
| Full Name | HAELEE DUREN PETTINGILL COHEN |
| Practice Address |
12014 Waterside View Dr Apt 14 Reston VA 20194-1758 |
| Practice Telephone | 4434740554 |
| Enumeration Date | 2020-02-09 |
| Last Update Date | 2020-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
12014 WATERSIDE VIEW DR APT 14 |
| City | RESTON |
| State | VA |
| Zip Code | 20194-1758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740174 | Golnaz Rezvani | Pharmacist | 1450 North Point Village Center, Reston, VA 20194 | 2020-11-06 |
| 1053615328 | Joshua Metz | Social Worker | 1108 Round Pebble Ln, Reston, VA 20194-1002 | 2010-12-30 |
| 1992949887 | Katherine Margaret M. Wendell | Registered Nurse | 11609 Deer Forest Rd, Reston, VA 20194-1104 | 2009-04-23 |
| 1922582790 | Pamela Anne Marie Williams | Nurse's Aide | 11731 Summerchase Cir Apt D, Reston, VA 20194-1141 | 2018-09-18 |
| 1760773303 | Maureen Patricia Wait | Occupational Therapist | 11706 Great Owl Cir, Reston, VA 20194-1175 | 2011-05-01 |
| 1114934650 | Mark E Franke | Emergency Medicine | 1488 Northpoint Village Ctr, Reston, VA 20194-1190 | 2006-08-01 |
| 1912930264 | Giant of Maryland LLC | Pharmacy | 1450 Northpoint Village Ctr, Reston, VA 20194-1190 | 2006-07-09 |
| 1972104669 | Ruth Gebremicael | Pharmacist | 1450 Northpoint Village Ctr, Reston, VA 20194-1190 | 2020-11-08 |
| 1922609825 | Tamara Cohen | Pharmacist | 1450 Northpoint Village Ctr, Reston, VA 20194-1190 | 2020-11-06 |
| 1558923060 | Pranee Chanthavongsa Smarsh | Nurse Practitioner | 1488 Northpoint Village Ctr, Reston, VA 20194-1190 | 2019-07-03 |
| Find all providers in zip 20194 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649818816 | Qing Shu | Student in an Organized Health Care Education/Training Program | 1921 Belmont Ridge Ct, Reston, VA 20191-5445 | 2019-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891520 | Frank Chilli | Student in an Organized Health Care Education/Training Program | 5 Oakland Dr, Newport News, VA 23601-3622 | 2020-11-08 |
| 1386245074 | Jason Schatti | Student in an Organized Health Care Education/Training Program | 1540 Gallery Ave, Virginia Beach, VA 23454-5605 | 2020-11-08 |
| 1407457195 | John Cayo | Student in an Organized Health Care Education/Training Program | 715 Stockley Gdns Apt 1, Norfolk, VA 23507-2025 | 2020-11-08 |
| 1710587712 | Shiela Kaye Chua Crisostomo | Student in an Organized Health Care Education/Training Program | 3916 Gosnold Ave, Norfolk, VA 23508-2916 | 2020-10-28 |
| 1871192500 | Caitie Rae Warren | Student in an Organized Health Care Education/Training Program | 3856 Banyan Grove Ln Apt 102, Virginia Beach, VA 23462-7486 | 2020-10-23 |
| 1487253357 | James Joseph Hansler | Student in an Organized Health Care Education/Training Program | 1795 Saint Andrews Cir, Blacksburg, VA 24060-0252 | 2020-10-22 |
| 1538768726 | Katherine Bailey Smith | Student in an Organized Health Care Education/Training Program | 3535 N Ohio St, Arlington, VA 22207-1337 | 2020-10-20 |
| 1982201760 | Jaime Lyn Van Kirk | Student in an Organized Health Care Education/Training Program | 233 Padgetts Ordinary, Williamsburg, VA 23185-5578 | 2020-10-05 |
| 1548867500 | Daniel Bailey Jr. | Student in an Organized Health Care Education/Training Program | 6211 Gilchrist Ave, Richmond, VA 23231-4723 | 2020-10-02 |
| 1851998041 | Leslie-anne Flego | Student in an Organized Health Care Education/Training Program | 4523 Arendale Sq, Alexandria, VA 22309-1217 | 2020-10-01 |
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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.