DR. SANDRA NICOLE MCGOURTY (NPI# 1578929345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578929345 |
| Entity Type | Individual |
| Full Name | DR. SANDRA NICOLE MCGOURTY |
| Credential | D.C. |
| Practice Address |
14130 Noblewood Plz Ste 204 Woodbridge VA 22193-1466 |
| Practice Telephone | 7038783434 |
| Practice Fax Number | 7038783833 |
| Mailing Telephone | 7038783434 |
| Mailing Fax Number | 7038783833 |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0104557275 | VA | Chiropractic Providers |
| Street Address |
14130 NOBLEWOOD PLZ STE 204 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22193-1466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659902534 | Nathan Hansen | Chiropractor | 14130 Noblewood Plz Ste 204, Woodbridge, VA 22193-1466 | 2020-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083111702 | Bethiana Magallanes White | Speech-Language Pathologist | 14450 Brook Dr, Woodbridge, VA 22193 | 2018-04-09 |
| 1982111449 | Frances Davis | Social Worker | 4196 Merchant Plaza Apt 632, Woodbridge, VA 22193 | 2018-01-05 |
| 1427421627 | Woodbridge Therapy Group LLC | Counselor | 12721 Darby Brooke Ct., Suite 102, Woodbridge, VA 22193 | 2015-11-10 |
| 1972981090 | Lifeline Home Health Inc | Community/Behavioral Health | 4309 Kenwood Dr, Woodbridge, VA 22193 | 2015-05-08 |
| 1588056139 | Lifelong Good Health LLC | Clinic/Center | 5721 Rhode Isalnd Drive, Woodbridge, VA 22193 | 2015-02-19 |
| 1639560378 | Tara Devi Smith | Psychologist | 13855 Hedgewood Drive, #245, Woodbridge, VA 22193 | 2015-02-17 |
| 1710396114 | Allanna Harrison | Speech-Language Pathologist | 15792 Beau Ridge Dr., Woodbridge, VA 22193 | 2014-08-11 |
| 1659788909 | Lifelong Good Health | Clinic/Center | 5721 Rhode Island Dr, Woodbridge, VA 22193 | 2014-07-18 |
| 1952731960 | Corrieann Marie Avila | Social Worker | 12721 Darby Brooke Court, Suite 102, Woodbridge, VA 22193 | 2013-11-13 |
| 1972881019 | Ockhee Jung | Acupuncturist | 14174 Rizdon Ct, Woodbridge, VA 22193 | 2011-07-22 |
| Find all providers in zip 22193 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265095418 | Arshia Nozari | Chiropractor | 14904 Jefferson Davis Hwy Ste 301, Woodbridge, VA 22191-3908 | 2019-04-15 |
| 1699217026 | Drrlhardy | Chiropractor | 15200 Leicestershire St Unit 234, Woodbridge, VA 22191-5924 | 2016-11-16 |
| 1730635079 | Complete Spinal Care & Rehab, LLC | Chiropractor | 12662 Darby Brook Court, Woodbridge, VA 22192 | 2016-08-28 |
| 1336524966 | Roshaun Hardy | Chiropractor | 13662 Office Pl Ste 103, Woodbridge, VA 22192-4217 | 2015-07-24 |
| 1891101952 | Laura Reid | Chiropractor | 3955 Prince Williams Parkway, Woodbridge, VA 22192-0000 | 2014-07-09 |
| 1518387661 | Andolina Chiropractic & Rehab | Chiropractor | 1455 Old Bridge Rd Ste 202, Woodbridge, VA 22192-2727 | 2014-04-16 |
| 1629360904 | Woodbridge Chiropractic & Pain Management | Chiropractor | 3945 Prince William Pkwy, Woodbridge, VA 22192-5010 | 2011-05-05 |
| 1043532732 | Angela Corinne Darling | Chiropractor | 12650 Lake Ridge Dr, Ste B, Woodbridge, VA 22192-2394 | 2010-02-22 |
| 1942462361 | Bilgin Kerisli | Chiropractor | 1000 Us Highway 9 N Ste 202, Woodbridge, NJ 07095-1200 | 2008-06-26 |
| 1740449875 | Katey Hauser | Chiropractor | 260 Amity Rd, Woodbridge, CT 06525-2222 | 2008-06-04 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22193 |
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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.