SAGE TEASLEY


Address: 11212 Hunting Horse Dr, Fairfax Station, VA 22039-2017
Phone: 7033475682

SAGE TEASLEY (NPI# 1407473465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407473465
Entity Type Individual
Full Name SAGE TEASLEY
Credential EMT
Practice Address 11212 Hunting Horse Dr
Fairfax Station
VA 22039-2017
Practice Telephone 7033475682
Mailing Telephone 7033475682
Enumeration Date 2020-06-25
Last Update Date 2020-06-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 146N00000X Emergency Medical Technician, Basic LA19-1016 LA Emergency Medical Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
Kayenta Health Center, Hwy 160 M.p. 394.3, Kayenta, AZ 86033 9286974000

Office Location

Street Address 11212 HUNTING HORSE DR
City FAIRFAX STATION
State VA
Zip Code 22039-2017

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114317468 Trinh Tran Pharmacist 9061 Emma Ann Way, Fairfax Station, VA 22039 2015-01-26
1629338975 Stephen Paul Boglarski Dentist 8300 Tabor Lane, Fairfax Station, VA 22039 2012-05-21
1932202181 Christopher Charles Virusky Chiropractor 9015 Silverbrook Road, Suite 105, Fairfax Station, VA 22039 2006-09-06
1366425415 Margaret Montgomer Jones Registered Nurse 8133 Rondelay Ln, Fairfax Station, VA 22039 2005-11-22
1831647239 Fairfax Internal Medicine and Primary Care PC Clinic/Center 5618 Ox Rd, Suite D-2, Fairfax Station, VA 22039 2016-09-14
1750535274 Catherine M. Janus Physical Therapist 5618 Ox Rd, Suite H, Fairfax Station, VA 22039 2008-11-11
1790810547 Ignaz P Jarbadan Md PC Internal Medicine 9015 Silverbrook Road, Ste 106, Fairfax Station, VA 22039 2007-02-22
1548549413 Roy D. Novick Dentist 5616g Ox Rd, Fairfax Station, VA 22039-1018 2011-08-10
1043510639 Jessica May Cantu-lane Physical Therapy Assistant 5618h Ox Rd, Fairfax Station, VA 22039-1018 2010-10-28
1396937553 Larmour Chiropractic, Inc. Chiropractor 5616f Ox Rd, Fairfax Station, VA 22039-1018 2007-08-13
Find all providers in zip 22039

Taxonomy Information

Taxonomy Code 146N00000X
Grouping Emergency Medical Service Providers
Classification Emergency Medical Technician, Basic

Taxonomy Definition

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417596370 Misty Lynne Gersley Emergency Medical Technician, Basic 701 Independence Cir Ste 201, Virginia Beach, VA 23455-6439 2019-12-24
1649813007 Gregory M Arnold Emergency Medical Technician, Basic 8206 Tyndale Rd, Richmond, VA 23227-1639 2019-10-17
1124517636 Hiba Tur Rafiq Emergency Medical Technician, Basic 117 Austin Dr, Stafford, VA 22556-1332 2018-05-09
1669973913 Elizabeth Keesler Emergency Medical Technician, Basic 775 Gateway Dr Se, Apt. 516, Leesburg, VA 20175-4045 2018-02-22
1518492990 April Everton Emergency Medical Technician, Basic 203 Sir John Way, Seaford, VA 23696-2474 2017-04-24
1184157109 Dessalegn Techane Assefa I Emergency Medical Technician, Basic 5719 Barnwood Dr, North Chesterfield, VA 23234-7711 2017-04-06
1215476171 Johnnie Walter Cox IIi Emergency Medical Technician, Basic 5163 Cleveland Street, Virginia Beach, VA 23462 2017-02-13
1942687702 Peter Griffin Emergency Medical Technician, Basic 1501 Patterson Ave Sw, Apt 6, Roanoke, VA 24016-3258 2015-04-30
1851731228 Michaelena Jo Oberschlake Emergency Medical Technician, Basic 1019 Ann St, Apt D3, Portsmouth, VA 23704-2262 2013-07-01
1811233455 Virginia Stephanie Perry Emergency Medical Technician, Basic 163 Aden Dr, Strasburg, VA 22657-5276 2013-01-01
Find all providers with the same taxonomy

Competitor

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City FAIRFAX STATION
Zip Code 22039

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Dataset Information

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.

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