MS. ANN L KOMELASKY (NPI# 1720156128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720156128 |
| Entity Type | Individual |
| Full Name | MS. ANN L KOMELASKY |
| Credential | CRNP |
| Practice Address |
11730 Sudley Manor Drive Manassas VA 20109-2843 |
| Mailing Address |
Kaiser Permanente Mid Atlantic Permanente Medical Group 2101 E Jefferson St Ppqa Medicare Compliance Unit 6 W Rockville MD 20852-4908 |
| Practice Telephone | 7032573001 |
| Practice Fax Number | 7032573133 |
| Mailing Telephone | 3018166660 |
| Mailing Fax Number | 3018166308 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 0024069512 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 0001069512 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11730 SUDLEY MANOR DRIVE |
| City | MANASSAS |
| State | VA |
| Zip Code | 20109-2843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730226218 | Evelyn Anna Ruelaz | Obstetrics & Gynecology | 11730 Sudley Manor Drive, Manassas, VA 20109 | 2007-01-31 |
| 1831254093 | Kathleen T Moffitt | Nurse Practitioner | 11730 Sudley Manor Drive, Manassas, VA 20109-2843 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151854 | Laura Zabel | Social Worker | 10220 Launch Circle #103, Manassas, VA 20109 | 2020-07-09 |
| 1659910677 | Leigh Cristi Babin-adkins | Registered Nurse | 10550 Linden Lake Plazza, Manassas, VA 20109 | 2019-12-23 |
| 1326686221 | Sophie Louise Elliot | Speech-Language Pathologist | 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 | 2019-12-11 |
| 1962978221 | Dominique Marie Cytryn | Behavior Technician | Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 | 2018-10-15 |
| 1255829008 | Lyusyena Teper | Physical Therapist | 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 | 2018-04-27 |
| 1861995060 | Mylisa L Ickes | Counselor | 7982 Donegan Drive, Manassas, VA 20109 | 2018-03-14 |
| 1336641885 | Stephanie Joanne Gamboa | Behavior Technician | 1037 Battleview Pkwy, Manassas, VA 20109 | 2018-03-01 |
| 1154822237 | Katherine Sholl | Behavior Technician | 10370 Battleview Parkway, Manassas, VA 20109 | 2018-02-23 |
| 1386168615 | Northern Virginia Checker Cab LLC | Taxi | 7631 Coppermine Dr, Manassas, VA 20109 | 2017-07-28 |
| 1407383201 | Monique Lowery | Social Worker | 7403 Emerald Dr., Manassas, VA 20109 | 2017-05-11 |
| Find all providers in zip 20109 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1144791096 | Mahmood Sulliman | Nurse Practitioner | 9317 Brentsville Rd, Manassas, VA 20112-4535 | 2018-12-17 |
| 1912174855 | Marina S Abad | Nurse Practitioner | 9707 Signal Ct, Manassas, VA 20111-2505 | 2008-05-09 |
| 1548320492 | Jan S Griffin | Nurse Practitioner | 8640 Sudley Rd Ste 302, Manassas, VA 20110-4404 | 2006-12-11 |
| 1396818795 | Jane Y Hwang | Nurse Practitioner | 8644 Sudley Rd Ste 315, Manassas, VA 20110 | 2006-11-16 |
| 1346874997 | Lauren Nichole-evans Jeske | Nurse Practitioner | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2020-02-22 |
| 1285284182 | Whitney Hood | Nurse Practitioner | 8640 Sudley Rd Ste 203, Manassas, VA 20110-4404 | 2019-09-13 |
| 1750937751 | Patricia Obeng | Nurse Practitioner | 8680 Hospital Way, Manassas, VA 20110-4287 | 2019-08-15 |
| 1336792308 | Whitney Loraine Thomas | Nurse Practitioner | 8100 Ashton Ave, Manassas, VA 20109-5622 | 2019-07-18 |
| 1295395002 | Jennifer Marie Rickerby | Nurse Practitioner | 9430 Forestwood Ln Ste 100, Manassas, VA 20110-4754 | 2019-06-14 |
| Find all providers in MANASSAS | ||||
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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.