NICOL LYNN SCHWANDT (NPI# 1073822482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073822482 |
| Entity Type | Individual |
| Full Name | NICOL LYNN SCHWANDT |
| Credential | PA |
| Practice Address |
10100 Fairfax Blvd Fairfax VA 22030 |
| Mailing Address |
Po Box 758963 Baltimore MD 21275-8963 |
| Practice Telephone | 7036791876 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2010-10-03 |
| Last Update Date | 2018-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110003745 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 24 Stevens St, Norwalk, CT 068503852 | 2038522189 |
| Street Address |
10100 FAIRFAX BLVD |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316981103 | Abdulwahab Hashem Heggi | Internal Medicine | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2006-06-15 |
| 1275084568 | Mariam Ali | Physician Assistant | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2016-10-20 |
| 1588018881 | Patient First Richmond Medical Group Pllc | Family Medicine | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2016-04-22 |
| 1134583008 | Patient First Richmond Medical Group | Non-Pharmacy Dispensing Site | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2016-04-07 |
| 1134527211 | Bridget A Baidoo | Physician Assistant | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2014-12-05 |
| 1164862868 | Nino Gelenidze | Family Medicine | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2013-06-27 |
| 1144669540 | Brandon Edward Polasko | Physician Assistant | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2013-06-19 |
| 1487900056 | Sheeba Mahnaz | Family Medicine | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2012-07-31 |
| 1073845806 | Minh Khai Tran | Family Medicine | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2010-02-04 |
| 1760621205 | Paul Gardner Scanlan | Internal Medicine | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2009-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396366555 | Sheelon Aghili | Physician Assistant | 5801 Hampton Forest Way, Fairfax, VA 22030-7254 | 2020-04-29 |
| 1114327087 | Bach-duong Dinh | Physician Assistant | 8316 Arlington Blvd Ste 401, Fairfax, VA 22031-5216 | 2014-08-28 |
| 1760633283 | Xyz Clinic | Physician Assistant | 17000 Breeze Lane, Fairfax, VA 22033 | 2008-10-02 |
| 1184810574 | Elizabeth Colella Johnson | Physician Assistant | 3022 Williams Dr #300, Fairfax, VA 22031 | 2007-09-19 |
| 1548322159 | Tsion Tewolde | Physician Assistant | 3600 Joseph Siewick, Drivefair Oaks Hospitalist Group, Fairfax, VA 22033 | 2006-12-14 |
| 1841307956 | Danielle M Landzinski | Physician Assistant | 10615 Judicial Dr Ste 401, Fairfax, VA 22030-7501 | 2006-08-24 |
| 1902873565 | Danielle Ali Layton | Physician Assistant | 3028 Javier Rd, Suite 300, Fairfax, VA 22031-4622 | 2006-03-02 |
| 1215437413 | Caitlin Noelle Fortune | Physician Assistant | 3700 Joseph Siewick Dr Ste 308, Fairfax, VA 22033-1739 | 2018-02-15 |
| 1396270310 | Jessica Nicole Ortega | Physician Assistant | 3620 Joseph Siewick Dr Ste 201, Fairfax, VA 22033-1758 | 2017-04-27 |
| 1295116952 | Faith Saunders | Physician Assistant | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2015-06-17 |
| 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.