DR. LORA E PEPPARD (NPI# 1093766214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093766214 |
| Entity Type | Individual |
| Full Name | DR. LORA E PEPPARD |
| Credential | DNP, PMHNP-BC |
| Practice Address |
4400 University Dr George Mason University Fairfax VA 22030-4422 |
| Mailing Address |
4400 University Drive, Ms 3c4 George Mason University Fairfax VA 22030 |
| Practice Telephone | 7039935154 |
| Mailing Telephone | 7039935154 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2011-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0024168567 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN1011888 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4400 UNIVERSITY DR GEORGE MASON UNIVERSITY |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-4422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245210079 | Mary E. Davis | Nurse Practitioner | 4400 University Dr, Ms 2d3, Fairfax, VA 22030-4422 | 2006-01-18 |
| 1326685207 | Yusufu Kamara | Student in an Organized Health Care Education/Training Program | 4400 University Dr, Fairfax, VA 22030-4422 | 2019-12-10 |
| 1861039752 | Kathy Nguyen | Student in an Organized Health Care Education/Training Program | 4400 University Dr, Fairfax, VA 22030-4422 | 2019-12-10 |
| 1093352007 | Phung Kim Pham | Specialist/Technologist | 4400 University Dr, Fairfax, VA 22030-4422 | 2019-12-09 |
| 1083251169 | Hailey Arnold | Student in an Organized Health Care Education/Training Program | 4400 University Dr, Fairfax, VA 22030-4444 | 2019-12-08 |
| 1376180471 | Latoya Marie Lashley | Specialist/Technologist | 4400 University Dr, Fairfax, VA 22030-4422 | 2019-12-08 |
| 1609413715 | Claudia Talton | Specialist/Technologist | 4400 University Dr, Fairfax, VA 22030-4422 | 2019-12-08 |
| 1063059152 | Ali Ahmad | Specialist/Technologist | 4400 University Dr, Fairfax, VA 22030-4422 | 2019-12-08 |
| 1386281467 | Archana Bai Reddy | Student in an Organized Health Care Education/Training Program | 4400 University Dr, Fairfax, VA 22030-4422 | 2019-12-07 |
| 1861039331 | Janet Rae Stein | Student in an Organized Health Care Education/Training Program | 4400 University Dr, Fairfax, VA 22030-4422 | 2019-12-04 |
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|---|---|---|---|---|
| 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 | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548876618 | Jamie Kim | Nurse Practitioner | 3554 Chain Bridge Rd Ste 200, Fairfax, VA 22030-2709 | 2020-09-23 |
| 1871139295 | Patricia Moyer Gilliam | Nurse Practitioner | 3805 Skyview Ln, Fairfax, VA 22031-3101 | 2019-11-20 |
| 1073003398 | Umu Coomber Benjamin | Nurse Practitioner | 3930 Pender Dr Ste 300, Fairfax, VA 22030-0986 | 2018-05-11 |
| 1992209993 | Natalia F Brigham | Nurse Practitioner | 8221 Willow Oaks Corporate Dr # 4-425, Fairfax, VA 22031-4512 | 2018-03-23 |
| 1376671032 | Shawan Helena Carr | Nurse Practitioner | 8221 Willow Oaks Corporate Dr Ste 4-420, Fairfax, VA 22031-4512 | 2007-03-02 |
| 1396261368 | Claire Milliken | Nurse Practitioner | 8221 Willow Oaks Corporate Dr Ste 4-425, Fairfax, VA 22031-4512 | 2017-08-21 |
| 1184173296 | Songki Park | Nurse Practitioner | 8500 Executive Park Ave Ste 202, Fairfax, VA 22031-2253 | 2016-09-30 |
| 1033592746 | Angela Susan Amas | Nurse Practitioner | 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031-4512 | 2015-06-30 |
| 1710272083 | Suzanne Cox | Nurse Practitioner | 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989 | 2011-06-15 |
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| 1225635683 | Kevina Boone | Nurse Practitioner | 5360 Discovery Park Blvd Ste 201, Williamsburg, VA 23188-2860 | 2020-10-07 |
| 1134734957 | Ai H Garner | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 | 2020-09-09 |
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| 1235749714 | Germaine Kelley-pope | Nurse Practitioner | 622 Westover Hills Blvd, Richmond, VA 23225-4521 | 2020-08-09 |
| 1164031779 | Georgina Rose Chidaushe | Nurse Practitioner | 46760 Vermont Maple Ter, Sterling, VA 20164-2234 | 2020-07-29 |
| 1689292575 | Harpreet Kang | Nurse Practitioner | 2925 Calcutt Dr, Midlothian, VA 23113-2682 | 2020-07-08 |
| 1558989475 | Happy Minds LLC | Nurse Practitioner | 1206 Carter Braxton Ln, Williamsburg, VA 23188-7654 | 2020-07-07 |
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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.