MS. MARION P SHORTMAN (NPI# 1972561017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972561017 |
| Entity Type | Individual |
| Full Name | MS. MARION P SHORTMAN |
| Credential | PNP |
| Practice Address |
19500 Sandridge Way Suite 110 Leesburg VA 20176-3688 |
| Mailing Address |
Po Box 17334 Baltimore MD 21297-1334 |
| Practice Telephone | 7037237337 |
| Practice Fax Number | 7037238278 |
| Mailing Telephone | 7034436717 |
| Mailing Fax Number | 7034438643 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2012-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0024168225 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
380455 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1972561017 | 05 |
| Street Address |
19500 SANDRIDGE WAY SUITE 110 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-3688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063405579 | Corinna Talley Schrankel | Pediatrics | 19500 Sandridge Way, Suite 110, Leesburg, VA 20176-3688 | 2005-08-30 |
| 1427449578 | Lauren Smeltz | Physical Therapist | 19500 Sandridge Way, Suite 390, Leesburg, VA 20176-3688 | 2015-02-11 |
| 1245633668 | Michele Wiley | Physical Therapist | 19500 Sandridge Way, Suite 390 Riverside Office Park, Leesburg, VA 20176-3688 | 2014-09-30 |
| 1790100477 | Lansdowne Weightloss & Wellness LLC | Family Medicine | 19500 Sandridge Way, # 170, Leesburg, VA 20176-3688 | 2014-03-04 |
| 1902169220 | Suzanne Coughenour | Physical Therapy Assistant | 19500 Sandridge Way, Suite 230, Leesburg, VA 20176-3688 | 2012-06-21 |
| 1386972198 | Lauren S Bland | Nurse Practitioner | 19500 Sandridge Way, Suite 110, Leesburg, VA 20176-3688 | 2009-12-07 |
| 1811158397 | Adrienne Ripken Harmel | Nurse Practitioner | 19500 Sandridge Way, Ste 110, Leesburg, VA 20176-3688 | 2008-06-18 |
| 1457475873 | Loudoun Medical Group PC | Pediatrics | 19500 Sandridge Way, Suite 110, Leesburg, VA 20176-3688 | 2007-03-19 |
| 1790828077 | Lisa Ann Cook | Physician Assistant | 19500 Sandridge Way, Suite 110, Leesburg, VA 20176-3688 | 2007-02-15 |
| 1851467310 | Lisa Marie Hutchinson | Pediatrics | 19500 Sandridge Way, Suite 110, Leesburg, VA 20176-3688 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
| Find all providers in zip 20176 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268441 | Marlene Mayweathers | Nurse Practitioner | 224d Cornwall St Nw Ste 104, Leesburg, VA 20176-2700 | 2020-02-26 |
| 1588694418 | Laylah Tiu Gaeta | Nurse Practitioner | 823 F South King Street, Leesburg, VA 20175 | 2006-07-04 |
| 1821467838 | Katie Anne Macdonald | Nurse Practitioner | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2015-09-20 |
| 1811158397 | Adrienne Ripken Harmel | Nurse Practitioner | 19500 Sandridge Way, Ste 110, Leesburg, VA 20176-3688 | 2008-06-18 |
| 1568677326 | Elizabeth Gwen Choma | Nurse Practitioner | 224d Cornwall St Nw, # 104, Leesburg, VA 20176-2700 | 2007-05-14 |
| 1316074768 | Senecca Elliott Kirkhart | Nurse Practitioner | 19450 Deerfield Avenue, Suite 200, Leesburg, VA 20176 | 2007-02-27 |
| 1124127253 | Tammy Dean Cayou | Nurse Practitioner | 19450 Deerfield Avenue, Suite 200, Leesburg, VA 20176 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820010 | Grace Yi | Nurse Practitioner | 6737 Stone Maple Ter, Centreville, VA 20121-5750 | 2020-10-29 |
| 1407455660 | Peds First Healthcare LLC | Nurse Practitioner | 7419 Maclachlan Dr, Chesterfield, VA 23838-5345 | 2020-10-20 |
| 1669097978 | Madison Smith | Nurse Practitioner | 1220 Wythe St Apt 258, Alexandria, VA 22314-2279 | 2020-06-11 |
| 1013542349 | Juliet Brown | Nurse Practitioner | 5249 Duke St Ste 303, Alexandria, VA 22304-2907 | 2020-03-06 |
| 1972143972 | Katelyn Hinderland | Nurse Practitioner | 500 Discovery Dr Ste 302, Chesapeake, VA 23320-3871 | 2020-01-08 |
| 1760030118 | Meghan Elizabeth Hoskins | Nurse Practitioner | 2035 Waterside Rd # 105, Prince George, VA 23875-1265 | 2019-08-29 |
| 1679049092 | Kellie Anne Archer | Nurse Practitioner | 7605 Forest Ave Ste 102, Henrico, VA 23229-4936 | 2018-10-24 |
| 1811471139 | Jessica Tabor Cline | Nurse Practitioner | 900a Rio East Ct, Charlottesville, VA 22901-8040 | 2018-09-21 |
| 1306329222 | Laura Elizabeth Grove | Nurse Practitioner | 1002 Amherst St Ste C, Winchester, VA 22601-3323 | 2018-09-07 |
| 1891289807 | Ashley Cadwallader Jeniec | Nurse Practitioner | 28 Blackwell Park Ln Ste 103, Warrenton, VA 20186-2686 | 2018-06-22 |
| 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.