MISS CAROLINE GRACIA (NPI# 1780233304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780233304 |
| Entity Type | Individual |
| Full Name | MISS CAROLINE GRACIA |
| Credential | NP-C |
| Practice Address |
3020 Hamaker Ct Ste 502 Fairfax VA 22031-2220 |
| Mailing Address |
3400 Columbia Pike Apt 333 Arlington VA 22204-2592 |
| Practice Telephone | 7032087257 |
| Practice Fax Number | 7032087259 |
| Mailing Telephone | 5083310935 |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 0024177900 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 0024177900 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3020 HAMAKER CT STE 502 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316025372 | Melissa Johnson Antonik | Internal Medicine | 3020 Hamaker Ct Ste 502, Fairfax, VA 22031-2220 | 2006-11-01 |
| 1891307021 | Zelda Jacqueline Diamond | Nurse Practitioner | 3020 Hamaker Ct Ste 502, Fairfax, VA 22031-2220 | 2020-08-19 |
| 1356817530 | Kathleen Nicole Anthony | Registered Nurse | 3020 Hamaker Ct Ste 502, Fairfax, VA 22031-2220 | 2018-10-16 |
| 1356816276 | Virginia Elise Seay | Nurse Practitioner | 3020 Hamaker Ct Ste 502, Fairfax, VA 22031-2220 | 2018-10-07 |
| 1558844746 | Amy Tomalavage Orrego | Nurse Practitioner | 3020 Hamaker Ct Ste 502, Fairfax, VA 22031-2220 | 2018-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| 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 |
|---|---|---|---|---|
| 1679187108 | Jolene M. Mcadam | Nurse Practitioner | 536 Meadow Oak Cir, Fairfax, IA 52228-4709 | 2020-09-02 |
| 1356968820 | Elizabeth Laura Gibbemeyer | Nurse Practitioner | 4209 Ridge Top Rd Apt 410, Fairfax, VA 22030-1120 | 2020-07-01 |
| 1932734274 | Elena Wornom | Nurse Practitioner | 3620 Joseph Siewick Dr Ste 100, Fairfax, VA 22033-1757 | 2020-03-06 |
| 1790327583 | Roula Saleem Dandalides | Nurse Practitioner | 8503 Arlington Blvd # V, Fairfax, VA 22031-4628 | 2019-10-13 |
| 1083124325 | Lu Lucy Wei | Nurse Practitioner | 2700 Prosperity Ave Ste 280, Fairfax, VA 22031-4340 | 2017-09-30 |
| 1700020286 | Suzanne Bailey Molloy | Nurse Practitioner | 4400 University Drive, Msn-2d3 George Mason University Student Health Services, Fairfax, VA 22030 | 2009-04-28 |
| 1518112697 | Amberly Michelle Dunn | Nurse Practitioner | 10390 Democracy Lane, Fairfax, VA 22030 | 2008-11-17 |
| 1205842432 | Katherine Niknia | Nurse Practitioner | Inova Schar Cancer Institute, 8081 Innovation Park Dr, Fairfax, VA 22031 | 2006-07-31 |
| 1508824699 | Susan R Waterbury | Nurse Practitioner | 11212 Waples Mill Rd, Suite 100, Fairfax, VA 22030 | 2006-05-01 |
| 1457960528 | Julie Littlejohn | Nurse Practitioner | 8081 Innovation Park Dr, Fairfax, VA 22031-4867 | 2020-07-24 |
| 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.