MS. NINA MESADIEU (NPI# 1336642180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336642180 |
| Entity Type | Individual |
| Full Name | MS. NINA MESADIEU |
| Credential | NP |
| Practice Address |
2740 Prosperity Ave Ste 200 Fairfax VA 22031-4354 |
| Mailing Address |
4000 Wilson Blvd Apt 1009 Arlington VA 22203-4409 |
| Practice Telephone | 7033212600 |
| Mailing Telephone | 3124203688 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2020-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN1052079 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
0024175981 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 N Washington St Ste 200, Falls Church, VA 220463514 | 7035221175 |
| Street Address |
2740 PROSPERITY AVE STE 200 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-4354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801845284 | Yasser Hadj Ousman | Internal Medicine | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2006-05-10 |
| 1801449657 | Katherine Kline | Dietitian, Registered | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2019-07-22 |
| 1801383617 | James Wadell Brunson Jr. | Counselor | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2018-04-17 |
| 1871004952 | Jekaterina Tolstenko | Nurse Practitioner | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2017-10-17 |
| 1306222120 | Emily Viall | Registered Nurse | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2015-08-04 |
| 1255738076 | Prosperity Rx Fairfax Inc | Pharmacy | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2014-11-21 |
| 1366844185 | Sarah Kelly | Dietitian, Registered | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2014-09-24 |
| 1164733879 | Sarah Penland | Social Worker | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2010-06-28 |
| 1184954539 | Laura Leigh Wolok | Dietitian, Registered | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2010-01-07 |
| 1952563785 | Shwetha Thukuntla | Internal Medicine | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031 | 2008-07-02 |
| Find all providers in the same location | ||||
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144147 | Emily Turner | Nurse Practitioner | 1099 Main St, Fairfax, VT 05454-9529 | 2020-11-06 |
| 1366041790 | Stephanie Ferber | Nurse Practitioner | 8081 Innovation Park Dr Fl 7, Fairfax, VA 22031-4867 | 2020-10-16 |
| 1578160198 | Northern Virginia Holistic Primary Care | Nurse Practitioner | 10304 Eaton Pl Ste 100, Fairfax, VA 22030-2238 | 2020-10-06 |
| 1821606377 | Lindsay Ann Bruno | Nurse Practitioner | 2921 District Ave Apt 504, Fairfax, VA 22031-2334 | 2020-07-21 |
| 1013534106 | Natalia Castro | Nurse Practitioner | 12817 Hamlet Hill Way, Fairfax, VA 22030-7250 | 2020-07-06 |
| 1629601448 | Lia Hoa Van | Nurse Practitioner | 3811 Glenbrook Rd, Fairfax, VA 22031-3105 | 2020-02-20 |
| 1043850175 | Olga Michelle Zaiter | Nurse Practitioner | 2740 Prosperity Ave Ste 100, Fairfax, VA 22031-4354 | 2020-01-07 |
| 1821650177 | Evelyne Kingori | Nurse Practitioner | 3022 Javier Rd Ste 105a, Fairfax, VA 22031-4646 | 2019-07-07 |
| 1770149726 | Laura E. Diaz | Nurse Practitioner | 3923 Old Lee Hwy Ste 61a, Fairfax, VA 22030-2428 | 2019-05-15 |
| 1295253102 | Mildred J Medrano | Nurse Practitioner | 9229 Arlington Arlington Blvd., Fairfax, VA 22031 | 2017-08-31 |
| 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.