ELENA WORNOM (NPI# 1932734274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932734274 |
| Entity Type | Individual |
| Full Name | ELENA WORNOM |
| Practice Address |
3620 Joseph Siewick Dr Ste 100 Fairfax VA 22033-1757 |
| Mailing Address |
Po Box 75868 Baltimore MD 21275-5868 |
| Practice Telephone | 7038105223 |
| Practice Fax Number | 7038105403 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0024178555 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3620 JOSEPH SIEWICK DR STE 100 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| 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 |
| 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 |
| 1780233304 | Caroline Gracia | Nurse Practitioner | 3020 Hamaker Ct Ste 502, Fairfax, VA 22031-2220 | 2019-09-06 |
| 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.