GRACE ANDALES SOISTMAN (NPI# 1275150518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275150518 |
| Entity Type | Individual |
| Full Name | GRACE ANDALES SOISTMAN |
| Practice Address |
11160 South Lakes Dr. Reston, Va 20191 Reston VA 20191 |
| Practice Telephone | 8663892727 |
| Mailing Telephone | 8663892727 |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024179630 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11160 SOUTH LAKES DR. RESTON, VA 20191 |
| City | RESTON |
| State | VA |
| Zip Code | 20191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| 1528237625 | Patane & Associates Physical Therapy, LLC | Physical Therapist | 12310 Pinecrest Rd Suite 207, Reston, VA 20191 | 2008-02-22 |
| Find all providers in zip 20191 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736525 | Kathleen Judge Bowie | Nurse Practitioner | 1650 Parkcrest Cir Apt 300, Reston, VA 20190-4941 | 2020-06-30 |
| 1386268613 | Nicole Christine Cash | Nurse Practitioner | 1860 Town Center Dr Ste 150&160, Reston, VA 20190-5896 | 2020-06-02 |
| 1821631748 | Kyler Philbin | Nurse Practitioner | 1850 Town Center Pkwy Ste 314, Reston, VA 20190-3300 | 2019-10-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1578045738 | Alexis Puedan Bergemann | Nurse Practitioner | 1542 Deer Point Way, Reston, VA 20194-1590 | 2018-09-05 |
| 1821500521 | Brittany Beczkiewicz Harris | Nurse Practitioner | 12018 Sunrise Valley Dr Ste 400, Reston, VA 20191-3434 | 2017-11-02 |
| 1568982601 | Stephanie Dean Richards | Nurse Practitioner | 12330 Pinecrest Rd Ste 250, Reston, VA 20191-1657 | 2017-06-20 |
| 1114454196 | Renee Hadeed | Nurse Practitioner | 11800 Sunrise Valley Dr Ste 700, Reston, VA 20191-5315 | 2017-05-22 |
| 1467796177 | William Joseph Cauley Jr. | Nurse Practitioner | 1109 Saffold Way, Us Government Employee, Reston, VA 20190-3816 | 2012-11-19 |
| 1033381074 | Inga Marler | Nurse Practitioner | 12103 Stirrup Rd, Reston, VA 20191-2103 | 2008-03-31 |
| Find all providers in RESTON | ||||
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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.