MICHELLE A ROSEN (NPI# 1184117376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184117376 |
| Entity Type | Individual |
| Full Name | MICHELLE A ROSEN |
| Other Name | MICHELLE A KLAIMAN |
| Credential | NP |
| Practice Address |
8503 Arlington Blvd Ste 400 Fairfax VA 22031 |
| Mailing Address |
3040 Williams Dr Ste 100 Fairfax VA 22031-4618 |
| Practice Telephone | 7032805390 |
| Practice Fax Number | 7032809596 |
| Mailing Telephone | 7032805390 |
| Mailing Fax Number | 7032809596 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 0001265247 | VA | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0024176307 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | RN LICENSE | 0001265247 | 01 |
| VA | NP LICENSE | 0024176307 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3650 Joseph Siewick Dr Ste 200, Fairfax, VA 220331712 | 7032805390 | 7036200952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194771907 | Michelle Lynn Rosen | Physical Therapist | 61 Huntington Rd, Unit 1a, Richmond, VT 05477-9708 | 2006-05-25 |
| 1134441470 | Michelle Rosen | Pharmacist | 182 S Ridge St, Rye Brook, NY 10573-2813 | 2010-02-26 |
| 1164600953 | Michelle L Rosen | Clinical Neuropsychologist | 120 W Eastman St, Suite 300e, Arlington Heights, IL 60004-5937 | 2008-02-05 |
| 1427108679 | Michelle Leann Rosen | Occupational Therapist | 2135 Charlotte St, Suite 3, Bozeman, MT 59718-2739 | 2007-01-11 |
| Street Address |
8503 ARLINGTON BLVD STE 400 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952338469 | Loren L. Friedman | Pain Medicine | 8503 Arlington Blvd Ste 400, Fairfax, VA 22031-4629 | 2006-06-28 |
| 1689071805 | Kristine Rebecca Freeman | Physician Assistant | 8503 Arlington Blvd Ste 400, Fairfax, VA 22031 | 2014-12-03 |
| 1538268644 | Randi Rabin | Physician Assistant | 8503 Arlington Blvd Ste 400, Fairfax, VA 22031-4629 | 2006-09-22 |
| 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 | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487095311 | Injung Kim | Nurse Practitioner | 10801 Main St Ste 700, Fairfax, VA 22030-4745 | 2013-07-08 |
| 1992061642 | Laura Ann Middleton | Nurse Practitioner | 12585 Fair Lakes Cir, Fairfax, VA 22033-3822 | 2012-04-06 |
| 1093027542 | Thomas Edward Dodsworth | Nurse Practitioner | 41 Azalea Ave, Fairfax, CA 94930-1527 | 2010-07-12 |
| 1205152188 | Wendy M Roberts | Nurse Practitioner | 11166 Fairfax Blvd Ste 405, Fairfax, VA 22030-5017 | 2010-04-16 |
| 1073702387 | Irina M Nikitina | Nurse Practitioner | 2826 Old Lee Hwy Ste 330, Fairfax, VA 22031-4347 | 2007-10-23 |
| 1104028158 | Maureen B Lozzi | Nurse Practitioner | 3650 Joseph Siewick Dr Ste 107, Fairfax, VA 22033-1711 | 2007-06-01 |
| 1295896769 | Barbara A Shaver | Nurse Practitioner | 9683-a Main St, Fairfax, VA 22031-3744 | 2006-12-12 |
| 1962519926 | Pamela Williams Parsons | Nurse Practitioner | 8503 Arlington Blvd Ste 140, Fairfax, VA 22031-4629 | 2006-08-24 |
| 1295724276 | Loren Anne Ray Tyson | Nurse Practitioner | 8505 Arlington Blvd, Suite 320, Inova Cardiac Diagnostic Services, Fairfax, VA 22031 | 2005-10-21 |
| 1598313637 | Sandra Wright | Nurse Practitioner | 10701 Main St, Fairfax, VA 22030-6904 | 2019-09-02 |
| 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.