BETTY TASIE (NPI# 1992132310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992132310 |
| Entity Type | Individual |
| Full Name | BETTY TASIE |
| Credential | NP |
| Practice Address |
12701 Marblestone Dr Suite 130 Woodbridge VA 22192-8325 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 5712844350 |
| Practice Fax Number | 7035804990 |
| Mailing Telephone | 7033683161 |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2015-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 002417114 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN1025453 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12701 MARBLESTONE DR SUITE 130 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-8325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023207792 | Su-en C Thlick, Dmd | Dentist | 12701 Marblestone Dr, Suite #260, Woodbridge, VA 22192-8307 | 2007-10-18 |
| 1568942878 | Nikeeta Patankar | Dentist | 12701 Marblestone Dr, Woodbridge, VA 22192-8325 | 2018-08-16 |
| 1154599439 | Randa Shakashiro | Dentist | 12701 Marblestone Dr, 260, Woodbridge, VA 22192-8307 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| 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 |
|---|---|---|---|---|
| 1063848885 | Grace Amistoso | Nurse Practitioner | Lock Bag & Woodbrige Ave, E Jersey State Prison Attn Medical Dept, Woodbridge, NJ 07067 | 2013-09-25 |
| 1073500658 | Jeanne Moore | Nurse Practitioner | 2200 Tacketts Mill Dr, Woodbridge, Woodbridge, VA 22192-3012 | 2005-09-29 |
| 1104454842 | Karen Leigh Holdsworth | Nurse Practitioner | 2280 Opitz Blvd Ste 250, Woodbridge, VA 22191-3362 | 2020-03-30 |
| 1093353450 | Alexandra Peck | Nurse Practitioner | 14904 Jefferson Davis Hwy Ste 208, Woodbridge, VA 22191-3908 | 2019-12-17 |
| 1093370959 | Jaime Alease Stephenson | Nurse Practitioner | 1990 Old Bridge Rd Ste 201, Woodbridge, VA 22192-2383 | 2019-05-07 |
| 1154884641 | Theodora Claudette Robinson | Nurse Practitioner | 1954 Opitz Blvd, Woodbridge, VA 22191-3304 | 2019-04-11 |
| 1316432164 | Sonica Mahat | Nurse Practitioner | 2200 Opitz Blvd Ste 335, Woodbridge, VA 22191 | 2018-06-25 |
| 1396118204 | Yolim Moncada | Nurse Practitioner | 2200 Opitz Blvd Ste 355, Woodbridge, VA 22191-3340 | 2015-11-02 |
| 1952787996 | Michelle Marie Stockhaus | Nurse Practitioner | 2200 Opitz Blvd, Suite 335, Woodbridge, VA 22191-3321 | 2015-07-31 |
| 1598169872 | Scarlet Haven On Aging, LLC | Nurse Practitioner | 1346 Old Bridge Rd, Suite 100, Woodbridge, VA 22192-2743 | 2014-10-15 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
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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.