TIEN MA (NPI# 1962982405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962982405 |
| Entity Type | Individual |
| Full Name | TIEN MA |
| Credential | NP |
| Practice Address |
7202 Poplar St Ste E Annandale VA 22003-3025 |
| Practice Telephone | 5718306195 |
| Mailing Telephone | 5718306195 |
| Mailing Fax Number | 7036718969 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2019-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
0024176681 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7125 Ayers Meadow Ln, Springfield, VA 221504917 | 7034240307 | |
| 720 N Saint Asaph St, Alexandria, VA 223141912 | 7035355568 |
| Street Address |
7202 POPLAR ST STE E |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003-3025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962873695 | Procare Pharmacy Health Center | Pharmacy | 7202 Poplar St Ste E, Annandale, VA 22003-3025 | 2015-10-07 |
| 1629587530 | Mary Mallory | Nurse Practitioner | 7202 Poplar St Ste E, Annandale, VA 22003-3025 | 2017-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
| Find all providers in zip 22003 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935777 | Janice Oh | Nurse Practitioner | 7700 Little River Tpke Ste 102, Annandale, VA 22003-2400 | 2020-03-02 |
| 1083124648 | Serena Brown | Nurse Practitioner | 3289 Woodburn Rd Ste 200, Annandale, VA 22003-7347 | 2017-10-09 |
| 1023478054 | Sarah Weber | Nurse Practitioner | 7617 Little River Tpke, Suite 710, Annandale, VA 22003-2603 | 2016-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948079 | Alissa Levine Wong | Nurse Practitioner | 8301 Arlington Blvd Ste 100, Fairfax, VA 22031-2902 | 2020-10-06 |
| 1912514209 | Kala Rutherford Stapleton | Nurse Practitioner | 1800 Combs Rd Ste 12, Pennington Gap, VA 24277-1808 | 2020-09-30 |
| 1689287583 | Teela J Walker | Nurse Practitioner | 250 Craftsman Cir, Suffolk, VA 23434-1530 | 2020-08-28 |
| 1093327876 | Jasmine Jones | Nurse Practitioner | 2828 Candlewood Cir, Chesapeake, VA 23324-3936 | 2020-08-21 |
| 1174140529 | Esther Chung | Nurse Practitioner | 9806 Gabon Ct, Burke, VA 22015-3111 | 2020-07-01 |
| 1346864725 | Karen Guidry | Nurse Practitioner | 2102 Broad Branch Cir, Richmond, VA 23238-6459 | 2020-06-02 |
| 1588285662 | Lindley Walker Abernathy | Nurse Practitioner | 25506 Courthouse Rd, Stony Creek, VA 23882-2042 | 2020-04-30 |
| 1003449448 | Yasmine M Kletter | Nurse Practitioner | 15213 Addison Ln, Woodbridge, VA 22193-6223 | 2020-02-13 |
| 1770113763 | Amy Armstead | Nurse Practitioner | 620 Keswick Rd, Colonial Heights, VA 23834-1729 | 2020-01-19 |
| 1740829688 | Jin Luo | Nurse Practitioner | 3700 Joseph Siewick Dr Ste 401, Fairfax, VA 22033-1745 | 2019-12-23 |
| Find all providers with the same taxonomy | ||||
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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.