LOVERLY GLAZE SANTOS PELAYO (NPI# 1508337403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508337403 |
Entity Type | Individual |
Full Name | LOVERLY GLAZE SANTOS PELAYO |
Practice Address |
3289 Woodburn Rd Ste 320 Annandale VA 22003-7354 |
Practice Telephone | 5713081830 |
Practice Fax Number | 5713081843 |
Mailing Telephone | 5713081830 |
Mailing Fax Number | 5713081843 |
Enumeration Date | 2018-12-17 |
Last Update Date | 2018-12-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
0017145514 | VA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | NURSE PRACTITIONER LICENSE | 0017145514 | 01 |
Street Address |
3289 WOODBURN RD STE 320 |
City | ANNANDALE |
State | VA |
Zip Code | 22003-7354 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699733808 | Chad Andrew Hamilton | Obstetrics & Gynecology | 3289 Woodburn Rd Ste 320, Annandale, VA 22003 | 2006-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
Find all providers in zip 22003 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831706597 | Martha Luz Alejandro-bird | Nurse Practitioner | 120 Kings Way Ste &3300, Williamsburg, VA 23185-2505 | 2020-09-28 |
1285240648 | Stephanie Williams Hatch | Nurse Practitioner | 304 Homestead Rd, Franklin, VA 23851-1345 | 2020-09-21 |
1346852639 | Britteny Nicole Stone-joel | Nurse Practitioner | 614 Rolfe Street, Hampton, VA 23661 | 2020-08-19 |
1093324469 | Grace A Odallo | Nurse Practitioner | 3441 Raytee Dr, Chesapeake, VA 23323-1230 | 2020-07-30 |
1558989186 | Olivia Brooke Wright | Nurse Practitioner | 2451 Midtown Ave Apt 1317, Alexandria, VA 22303-1437 | 2020-07-09 |
1467070342 | Amanda K Whitley | Nurse Practitioner | 401 Gordon Ave, Bristol, VA 24201-4106 | 2020-07-08 |
1194341792 | Tina Fulcher | Nurse Practitioner | 13300 Burley Ridge Ln, Chester, VA 23831-7119 | 2020-06-19 |
1366067373 | Luke Balmer | Nurse Practitioner | 3402 Upper Tillman Way, Powhatan, VA 23139-4349 | 2020-06-15 |
1174158539 | Monica Kristine Thompson | Nurse Practitioner | 6340 Miller Dr, Alexandria, VA 22315-3512 | 2020-03-05 |
1326670100 | Kristyn Dolores Fox | Nurse Practitioner | 830 Kempsville Rd Ste 2b223, Norfolk, VA 23502-3920 | 2020-02-10 |
Find all providers with the same taxonomy |
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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.