MS. PATRICIA ANN NICHOLSON (NPI# 1386702652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386702652 |
| Entity Type | Individual |
| Full Name | MS. PATRICIA ANN NICHOLSON |
| Credential | PA |
| Practice Address |
224b Cornwall St Nw Loudoun Free Clinic Leesburg VA 20176-2701 |
| Mailing Address |
2101 E Jefferson St Kaiser Permanente Medicare Enrollment Rockville MD 20852-4908 |
| Practice Telephone | 7037795416 |
| Practice Fax Number | 7037795407 |
| Mailing Telephone | 3018162424 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2011-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110001790 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | C01483 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821032426 | Patricia Diane Nicholson | Nurse Practitioner | 104 W. Rochester Street, Akron, IN 46910 | 2006-06-15 |
| 1629678073 | Patricia Kieffer Nicholson | Pharmacist | 427 Highway 425 N, Monticello, AR 71655-4015 | 2020-10-27 |
| 1174014088 | Patricia Nicholson | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2018-05-25 |
| 1467718767 | Patricia P Nicholson | Registered Nurse | 2024 Creston Ave, 3rd Floor, Bronx, NY 10453-4244 | 2012-04-11 |
| Street Address |
224B CORNWALL ST NW LOUDOUN FREE CLINIC |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
| Find all providers in zip 20176 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487207213 | Shawn Mcnichol | Physician Assistant | 601 E Dixie Ave Ste 804, Leesburg, FL 34748-5994 | 2019-07-21 |
| 1457825093 | Grace Christine Berardini | Physician Assistant | 19415 Deerfield Ave Ste 314, Leesburg, VA 20176-8472 | 2019-01-16 |
| 1891278875 | Luis O Aponte Mendoza | Physician Assistant | 704 Doctors Ct., Suite 101, Leesburg, FL 34748 | 2018-09-14 |
| 1477052603 | Charu Gupta | Physician Assistant | 635 Potomac Station Dr Ne, Leesburg, VA 20176-1818 | 2018-02-02 |
| 1255876041 | John Edward Kelly | Physician Assistant | 1340 Citizens Blvd, Leesburg, FL 34748-3924 | 2017-01-03 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
| 1043651342 | Kristin Marie Kaiser | Physician Assistant | 19465 Deerfield Ave Ste 408, Leesburg, VA 20176-1707 | 2013-07-15 |
| 1326370438 | Kimberly Brooke Fields | Physician Assistant | 19500 Sandridge Way Ste 170, Leesburg, VA 20176 | 2010-02-01 |
| 1790737609 | Stephen Joseph Signore | Physician Assistant | 401 W North Blvd, Mid-florida Primary Care, Pa, Leesburg, FL 34748-5044 | 2006-05-17 |
| 1811966377 | Sanjeev Singh | Physician Assistant | 2 Cardinal Park Dr Se, Suite 103a, Leesburg, VA 20175-4448 | 2006-03-16 |
| Find all providers in LEESBURG | ||||
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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.