KATHLEEN NICOLE JENNINGS (NPI# 1346854189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346854189 |
| Entity Type | Individual |
| Full Name | KATHLEEN NICOLE JENNINGS |
| Credential | RN, IBCLC |
| Practice Address |
3600 Joseph Siewick Dr Fairfax VA 22033-1709 |
| Mailing Address |
12602 James Bergen Way Fairfax VA 22033-4382 |
| Practice Telephone | 7033913600 |
| Mailing Telephone | 7036555049 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
L-19053 | VA | Nursing Service Providers |
| N | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
0001203763 | VA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710386636 | Kathleen Jennings | Social Worker | 8711 Pebble Creek Dr, Pinckney, MI 48169-8577 | 2014-08-15 |
| 1609243815 | Kathleen Jennings | Occupational Therapy Assistant | 100 Lynwood Ave, Scranton, PA 18505-2868 | 2015-08-24 |
| Street Address |
3600 JOSEPH SIEWICK DR |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854250 | Maria Lucille Fain | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2005-07-14 |
| 1679171847 | Lucy Holden Cusack | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-10-11 |
| 1730792649 | Amy Christine Byerle | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-29 |
| 1184235863 | Nancy Lynn Forrest | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-14 |
| 1639780323 | Laura Ann Cintorino | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-14 |
| 1366053332 | Elizabeth Abando | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-13 |
| 1124639992 | Sarah A Mcdonald | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-13 |
| 1134633597 | Previtha Sanna Mathews | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2017-11-21 |
| 1427590629 | Qian Feng | Specialist/Technologist, Other | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2016-11-06 |
| 1295185643 | Caroline Sexson | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2016-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578891040 | Chelsea C Clark | Registered Nurse | 15 East Rd Unit 102, Fairfax, VT 05454-4450 | 2009-11-22 |
| 1932315504 | Vergie Irene Hughes | Registered Nurse | 3621 Lido Pl, Fairfax, VA 22031-3860 | 2007-05-14 |
| 1679171847 | Lucy Holden Cusack | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-10-11 |
| 1730792649 | Amy Christine Byerle | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-29 |
| 1184235863 | Nancy Lynn Forrest | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-14 |
| 1639780323 | Laura Ann Cintorino | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-14 |
| 1366053332 | Elizabeth Abando | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-13 |
| 1124639992 | Sarah A Mcdonald | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687874 | Leah M Tribus | Registered Nurse | 1236 Windswept Cir, Chesapeake, VA 23320-5010 | 2020-10-20 |
| 1417562505 | Belma Skaljic | Registered Nurse | 8370 Greensboro Dr Unit 314, Mc Lean, VA 22102-3516 | 2020-09-15 |
| 1669085585 | Jennifer Clare Defranco | Registered Nurse | 4475 Corral Rd, Warrenton, VA 20187-5820 | 2020-08-29 |
| 1972126142 | Amy Fay Alliston | Registered Nurse | 308b S Main St Ste 221, Farmville, VA 23901-1744 | 2020-05-22 |
| 1770114068 | Heather Smith | Registered Nurse | 1398 New Hope Rd, Staunton, VA 24401-9262 | 2020-01-27 |
| 1740829506 | Kendra Danielle Carroll | Registered Nurse | 3424 Ashmeade Dr, Roanoke, VA 24018-3702 | 2019-12-27 |
| 1245882802 | Brenda Lee Knighton | Registered Nurse | 12928 Crews Ct, Bristow, VA 20136-3112 | 2019-07-14 |
| 1467011510 | Amy Taylor | Registered Nurse | 4176 S Plaza Trl Ste 217, Virginia Beach, VA 23452-1920 | 2019-06-12 |
| 1679036883 | Alison Grace Stamper Levy | Registered Nurse | 2001 N Upton St, Arlington, VA 22207-2326 | 2019-04-14 |
| 1518426816 | Emily Bender | Registered Nurse | 4781 Back Mountain Rd, Winchester, VA 22602-3462 | 2019-03-16 |
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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.