DR. SANDRA BRUCE NICHOLS (NPI# 1780967232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780967232 |
| Entity Type | Individual |
| Full Name | DR. SANDRA BRUCE NICHOLS |
| Other Name | DR. SANDRA DENISE NICHOLS |
| Credential | MD |
| Practice Address |
12018 Sunrise Valley Dr Suite 400 Reston VA 20191-3432 |
| Mailing Address |
12706 Young Ln North Potomac MD 20878-6112 |
| Practice Telephone | 3014486550 |
| Mailing Telephone | 3019476774 |
| Mailing Fax Number | 1310947677 |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | D60180 | MD | Allopathic & Osteopathic Physicians |
| Y | 302R00000X | Health Maintenance Organization | D60180 | MD | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770749202 | Sandra Walker Nichols | Nurse Practitioner | 8488 Wolf Valley Ln, Bartlett, TN 38133-2883 | 2008-08-04 |
| 1811432032 | Sandra Nichols | Physical Therapist | 711 N 5th St, Jenks, OK 74037-3343 | 2016-12-23 |
| 1629252739 | Sandra Eileen Nichols | Social Worker | 106 19th Ave, Suite 101, Moline, IL 61265-3700 | 2007-12-26 |
| Street Address |
12018 SUNRISE VALLEY DR SUITE 400 |
| City | RESTON |
| State | VA |
| Zip Code | 20191-3432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295742419 | Thomas S Sullivan | Family Medicine | 12018 Sunrise Valley Dr, Suite 400, Reston, VA 20191-3432 | 2006-08-01 |
| 1932719994 | Amber Jade Allen | Nurse Practitioner | 12018 Sunrise Valley Dr, Reston, VA 20191-3432 | 2020-08-05 |
| 1861955031 | Lois Tatum Penn | Nurse Practitioner | 12018 Sunrise Valley Dr, Reston, VA 20191-3432 | 2019-04-12 |
| 1174015614 | Lindsay Anne Keene | Nurse Practitioner | 12018 Sunrise Valley Dr, Reston, VA 20191 | 2018-05-31 |
| 1548767874 | Linda Sue Duty | Nurse Practitioner | 12018 Sunrise Valley Dr, Reston, VA 20191-3432 | 2018-04-12 |
| 1043754708 | Compassus Op of Virginia LLC | Hospice Care, Community Based | 12018 Sunrise Valley Dr, Ste 400, Reston, VA 20191-3432 | 2016-12-14 |
| 1548713233 | Pamela Noelle Montenegro | Registered Nurse | 12018 Sunrise Valley Dr, Suite 400, Reston, VA 20191-3432 | 2016-07-28 |
| 1366807539 | Emily Nicole Ollis | Nurse Practitioner | 12018 Sunrise Valley Dr, Ste 400, Reston, VA 20191-3432 | 2015-12-15 |
| 1073984142 | Optum Palliative and Hospice Care | Chronic Disease Hospital | 12018 Sunrise Valley Dr, Suite 400, Reston, VA 20191-3432 | 2015-10-14 |
| 1871964544 | Yvonne Elizabeth Mcmillan | Nurse Practitioner | 12018 Sunrise Valley Dr, Suite 400, Reston, VA 20191-3432 | 2015-10-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
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| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487878690 | Reston Orthodontic Associates, Pllc | Health Maintenance Organization | 1984 Isaac Newton Sq W Ste 200, Reston, VA 20190-5040 | 2007-04-12 |
| 1083095491 | Keya Health | Health Maintenance Organization | 1801 Robert Fulton Dr Ste 480, Reston, VA 20191-5481 | 2015-06-11 |
| 1912027152 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Health Maintenance Organization | 1890 Metro Center Dr, Reston, VA 20190-5286 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031629 | Suzanne Eva Leitner-wise | Health Maintenance Organization | 532 N Washington St Ste 100, Alexandria, VA 22314-2314 | 2020-10-18 |
| 1700371358 | Mgellan Complete Care Virginia | Health Maintenance Organization | 3829 Gaskins Rd, Richmond, VA 23233-1437 | 2018-06-26 |
| 1780102335 | Illuminated Direction | Health Maintenance Organization | 6116 Rolling Road Suite 104, Springfield, VA 22152 | 2017-09-05 |
| 1790228146 | Walgreens | Health Maintenance Organization | 99 Tide Mill Ln, Apt #96, Hampton, VA 23666-2764 | 2016-12-02 |
| 1457719205 | Heavenly Friends Home Healthcare Services LLC. | Health Maintenance Organization | 24 Palisade Pt, Hampton, VA 23666-6029 | 2016-02-08 |
| 1609240142 | Hearing Healthcare of Virginia | Health Maintenance Organization | 1951 Evelyn Byrd Ave Ste F, Harrisonburg, VA 22801-3483 | 2015-11-20 |
| 1558735332 | Meluzio Psychological Services, LLC | Health Maintenance Organization | 10 Indian Wood Ln, Fredericksburg, VA 22405-1834 | 2015-11-17 |
| 1730555780 | No Place Like Home | Health Maintenance Organization | 1713 Sunset Dr, Bassett, VA 24055-4834 | 2015-08-13 |
| 1073992434 | We Care Home Health Services | Health Maintenance Organization | 102 Pine View Street, Patrick Springs, VA 24133-3701 | 2015-05-19 |
| 1275911653 | Peace From Pieces | Health Maintenance Organization | 307 Lafayette Blvd Ste 202, Fredericksburg, VA 22401-6079 | 2015-05-18 |
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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.