DR. JENNIFER MARIE RICKERBY (NPI# 1295395002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295395002 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER MARIE RICKERBY |
| Credential | DNP |
| Practice Address |
9430 Forestwood Ln Ste 100 Manassas VA 20110-4754 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7033650227 |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0024177705 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9430 FORESTWOOD LN STE 100 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801940531 | Denyse R Bailey | Pediatrics | 9430 Forestwood Ln Ste 100, Manassas, VA 20110 | 2007-01-22 |
| 1164990941 | Nmg Affiliate Praactice I, LLC | Pediatrics | 9430 Forestwood Ln Ste 100, Manassas, VA 20110-4754 | 2018-11-09 |
| 1730541491 | Kiley Boone | Pediatrics | 9430 Forestwood Ln Ste 100, Manassas, VA 20110-4754 | 2016-03-22 |
| 1104220813 | Gigi Elisabeth Dann | Registered Nurse | 9430 Forestwood Ln Ste 100, Manassas, VA 20110-4754 | 2014-10-09 |
| 1346470945 | Susmita Nursingha Sarangi | Pediatrics | 9430 Forestwood Ln Ste 100, Manassas, VA 20110-4754 | 2009-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1144791096 | Mahmood Sulliman | Nurse Practitioner | 9317 Brentsville Rd, Manassas, VA 20112-4535 | 2018-12-17 |
| 1912174855 | Marina S Abad | Nurse Practitioner | 9707 Signal Ct, Manassas, VA 20111-2505 | 2008-05-09 |
| 1548320492 | Jan S Griffin | Nurse Practitioner | 8640 Sudley Rd Ste 302, Manassas, VA 20110-4404 | 2006-12-11 |
| 1720156128 | Ann L Komelasky | Nurse Practitioner | 11730 Sudley Manor Drive, Manassas, VA 20109-2843 | 2006-12-01 |
| 1396818795 | Jane Y Hwang | Nurse Practitioner | 8644 Sudley Rd Ste 315, Manassas, VA 20110 | 2006-11-16 |
| 1346874997 | Lauren Nichole-evans Jeske | Nurse Practitioner | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2020-02-22 |
| 1285284182 | Whitney Hood | Nurse Practitioner | 8640 Sudley Rd Ste 203, Manassas, VA 20110-4404 | 2019-09-13 |
| 1750937751 | Patricia Obeng | Nurse Practitioner | 8680 Hospital Way, Manassas, VA 20110-4287 | 2019-08-15 |
| 1336792308 | Whitney Loraine Thomas | Nurse Practitioner | 8100 Ashton Ave, Manassas, VA 20109-5622 | 2019-07-18 |
| Find all providers in MANASSAS | ||||
Please comment or provide details below to improve the information on DR. JENNIFER MARIE RICKERBY.
| 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.