KAVITHA K NAKKA, MD INC. (NPI# 1174796445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174796445 |
| Entity Type | Organization |
| Organization Name | KAVITHA K NAKKA, MD INC. |
| Practice Address |
8301 Arlington Blvd Suite # T-5 Fairfax VA 22031-2902 |
| Mailing Address |
12601 Winter Wren Ct Oak Hill VA 20171-1830 |
| Practice Telephone | 7035600404 |
| Mailing Telephone | 7035600404 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2013-09-05 |
| Authorized Official Name | DR. KISHORE K NAKKA (OFFICER) |
| Authorized Official Telephone | 7034351713 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 06068936 | VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010051291 | 05 | |
| RAILROAD MEDICARE PIN | DC4838 | 01 |
| Street Address |
8301 ARLINGTON BLVD SUITE # T-5 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154309136 | Marcie K. Weil | Pediatrics | 8301 Arlington Blvd, Suite 209, Fairfax, VA 22031-2902 | 2006-01-09 |
| 1144769639 | Evelyn T Samuel Dmd PC | Dentist | 8301 Arlington Blvd, Ste. 207, Fairfax, VA 22031-2902 | 2017-02-16 |
| 1619328416 | Loretta Jean Vece | Nurse Practitioner | 8301 Arlington Blvd, Suite #305, Fairfax, VA 22031-2902 | 2016-06-23 |
| 1548640287 | Gina Decaro | Physical Therapist | 8301 Arlington Blvd, Suite 209, Fairfax, VA 22031-2902 | 2015-06-08 |
| 1063813442 | Dr. Zhou's Clinic, Pllc | Exclusive Provider Organization | 8301 Arlington Blvd, Suite 309, Fairfax, VA 22031-2902 | 2014-09-04 |
| 1568879682 | Lng Associates, Pllc | Obstetrics & Gynecology | 8301 Arlington Blvd, Suite 206, Fairfax, VA 22031-2902 | 2014-07-21 |
| 1821423666 | Alka Mahajan | Dentist | 8301 Arlington Blvd, Suite T-2, Fairfax, VA 22031-2902 | 2013-09-11 |
| 1104194570 | Fairfax Pulmonary & Critical Care Group LLC | Internal Medicine | 8301 Arlington Blvd, Suite T5, Fairfax, VA 22031-2902 | 2011-12-13 |
| 1881981702 | Robert Weldon Crawford | Physical Therapist | 8301 Arlington Blvd, Suite 209, Fairfax, VA 22031-2902 | 2011-06-29 |
| 1306136056 | Megan Marie Mccahey | Counselor | 8301 Arlington Blvd, 304, Fairfax, VA 22031-2902 | 2011-04-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528347341 | Inova Health Care Services | Clinic/Center | 8100 Innovation Park Dr Ste 100, Fairfax, VA 22031-4870 | 2011-08-10 |
| 1093031452 | Masood Charitable Clinic | Clinic/Center | 12550 Cerromar Pl, Fairfax, VA 22030-6652 | 2010-04-10 |
| 1255475380 | Afk LLC | Clinic/Center | 9452 Main Street, Med First Urgent Care, Fairfax, VA 22031 | 2007-02-20 |
| 1972509735 | Chantilly Walk-in Clinic | Clinic/Center | 13037 Lee Jackson Hwy, Ste D, Fairfax, VA 22033-2004 | 2005-06-24 |
| 1881212991 | Renewed Oriental Medicine Clinic, Inc. | Clinic/Center | 9685 Main St Ste C, Fairfax, VA 22031-3752 | 2020-07-07 |
| 1295378354 | Community Hospital Association | Clinic/Center | 309 E Main St, Fairfax, MO 64446-9312 | 2019-10-22 |
| 1649714155 | About Care Gyn Associates, Pllc | Clinic/Center | 3650 Joseph Siewick Dr, Suite 309, Fairfax, VA 22033-1710 | 2016-12-19 |
| 1609165653 | Greenbriar Vision Center, Inc | Clinic/Center | 13029 Lee Jackson Memorial Hwy, Fairfax, VA 22033-2001 | 2011-03-30 |
| 1417287665 | Northwestern Medical Center, Inc. | Clinic/Center | 4178 Highbridge Rd, Fairfax, VT 05454-5446 | 2010-01-12 |
| 1477790228 | Piedmont Otolaryngology Head & Neck Surgery | Clinic/Center | 8303 Arlington Blvd Ste 203, Fairfax, VA 22031-2903 | 2009-01-15 |
| 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.