CATHERINE A GRODEN (NPI# 1770835993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770835993 |
| Entity Type | Individual |
| Full Name | CATHERINE A GRODEN |
| Credential | NP-C |
| Practice Address |
10301 New Guinea Rd Target Fairfax VA 22032 |
| Mailing Address |
1593 N Colonial Ter 405 Arlington VA 22209-1430 |
| Practice Telephone | 7037645100 |
| Mailing Telephone | 5712425253 |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AC000668 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024168092 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790177590 | Catherine Groden | Pediatrics | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2015-03-03 |
| Street Address |
10301 NEW GUINEA RD TARGET |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922039403 | Laura Ellen Rigney | Nurse Practitioner | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2006-07-05 |
| 1518318906 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2016-06-27 |
| 1205212909 | Harrison J Kim | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-08-04 |
| 1568854107 | Monica Anahita Fathipour Jalilian | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-18 |
| 1770974958 | Jenny Kim | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-10 |
| 1164813325 | Sara Kim | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-10 |
| 1124419528 | Kristina Kang | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-07 |
| 1649661034 | Jay Grant Matthews Jr. | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-07 |
| 1497146963 | Merii Tikoyan | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-05 |
| 1811388390 | Porsha Moon | Pharmacy Technician | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2015-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093193567 | Cynthia Leigh Pascal | Counselor | 9801 Joyce Street, Fairfax, VA 22032 | 2015-05-15 |
| 1760888432 | Judy Lim | Massage Therapist | 4205 Olley Ln, Fairfax, VA 22032 | 2014-11-07 |
| 1083015010 | Caring Heart Nursing Services LLC | Registered Nurse | 4824 Gainsborough Dr, Fairfax, VA 22032 | 2014-09-09 |
| 1033483839 | Inovacares for Seniors | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2012-02-27 |
| 1598032716 | Joshua Michael Prozeralik | Pharmacist | 10310 New Guinea Road, Burke, VA 22032 | 2011-11-17 |
| 1356570071 | Azmy A. Iskander | Emergency Medicine | 10520 Acacia Lane, Fairfax, VA 22032 | 2009-07-02 |
| 1851515175 | The Pediatric Group, PC | Registered Nurse | 10527 Braddock Road, Fairfax, VA 22032 | 2007-04-11 |
| 1770634313 | Andrea L Lubeck | Nurse Practitioner | 10301 New Guinea Road, Cvs Health, Minuteclinic, Fairfax, VA 22032 | 2007-01-12 |
| 1104167212 | Inova Health Care Services | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2013-03-14 |
| 1790953420 | Amanda Nicole Collins | Physician Assistant | 238 Brookley Avenue, Bolling Afb, DC 22032 | 2008-02-15 |
| Find all providers in zip 22032 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144147 | Emily Turner | Nurse Practitioner | 1099 Main St, Fairfax, VT 05454-9529 | 2020-11-06 |
| 1366041790 | Stephanie Ferber | Nurse Practitioner | 8081 Innovation Park Dr Fl 7, Fairfax, VA 22031-4867 | 2020-10-16 |
| 1578160198 | Northern Virginia Holistic Primary Care | Nurse Practitioner | 10304 Eaton Pl Ste 100, Fairfax, VA 22030-2238 | 2020-10-06 |
| 1821606377 | Lindsay Ann Bruno | Nurse Practitioner | 2921 District Ave Apt 504, Fairfax, VA 22031-2334 | 2020-07-21 |
| 1013534106 | Natalia Castro | Nurse Practitioner | 12817 Hamlet Hill Way, Fairfax, VA 22030-7250 | 2020-07-06 |
| 1629601448 | Lia Hoa Van | Nurse Practitioner | 3811 Glenbrook Rd, Fairfax, VA 22031-3105 | 2020-02-20 |
| 1043850175 | Olga Michelle Zaiter | Nurse Practitioner | 2740 Prosperity Ave Ste 100, Fairfax, VA 22031-4354 | 2020-01-07 |
| 1821650177 | Evelyne Kingori | Nurse Practitioner | 3022 Javier Rd Ste 105a, Fairfax, VA 22031-4646 | 2019-07-07 |
| 1770149726 | Laura E. Diaz | Nurse Practitioner | 3923 Old Lee Hwy Ste 61a, Fairfax, VA 22030-2428 | 2019-05-15 |
| 1295253102 | Mildred J Medrano | Nurse Practitioner | 9229 Arlington Arlington Blvd., Fairfax, VA 22031 | 2017-08-31 |
| 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.