MRS. JANINE PRIME (NPI# 1669996062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669996062 |
| Entity Type | Individual |
| Full Name | MRS. JANINE PRIME |
| Credential | NP |
| Practice Address |
9306 Forest Point Cir Manassas VA 20110-4700 |
| Mailing Address |
6621 Oakton Ave Haymarket VA 20169-4932 |
| Practice Telephone | 7033304300 |
| Mailing Telephone | 7038890969 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
0024175178 | VA | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
0024175178 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
9306 FOREST POINT CIR |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740241314 | John L Antus | Internal Medicine | 9306 Forest Point Cir, Manassas, VA 20110-4700 | 2006-03-31 |
| 1255884839 | Valerie J Herbert | Nurse Practitioner | 9306 Forest Point Cir, Manassas, VA 20110-4700 | 2016-07-29 |
| 1104245224 | Adaku Lilian Izunwanne | Nurse Practitioner | 9306 Forest Point Cir, Manassas, VA 20110-4700 | 2014-04-16 |
| 1255669198 | Patricia Coulter | Nurse Practitioner | 9306 Forest Point Cir, Manassas, VA 20110-4700 | 2009-12-04 |
| 1093997900 | Dr Arun K Gupta PC | Internal Medicine | 9306 Forest Point Cir, Manassas, VA 20110-4700 | 2007-12-03 |
| 1295756054 | Arun K Gupta | Internal Medicine | 9306 Forest Point Cir, Manassas, VA 20110-4700 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538556220 | Riley Sean Maurice Dubois | Family Medicine | 10701 Rosemary Dr, Manassas, VA 20109 | 2015-04-20 |
| 1902034655 | Gayatri Vaddadi | Family Medicine | 6356 Hoadly Rd, Manassas, VA 20112-3422 | 2009-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583283 | Michelle Lynn Pope | Family Medicine | 731 Seaton Ave Unit 120, Alexandria, VA 22305-3052 | 2020-09-19 |
| 1821604885 | Lindsay J Callahan | Family Medicine | 13900 Buck Rub Dr, Midlothian, VA 23112-6111 | 2020-09-16 |
| 1376199273 | Senle Care | Family Medicine | 6628 E Wakefield Dr Apt B1, Alexandria, VA 22307 | 2019-08-15 |
| 1861860231 | Ram Singh | Family Medicine | 5637 Powell Valley Rd, Big Stone Gap, VA 24219-4127 | 2015-09-02 |
| 1306257803 | Michelle A Clements | Family Medicine | 5415 Airport Rd, Roanoke, VA 24012-1303 | 2014-05-19 |
| 1538472824 | Monroe Glass Baldwin II | Family Medicine | 2058 Garfield Ave, Lynchburg, VA 24501-6417 | 2010-07-15 |
| 1750618674 | Rafael Angel Roure | Family Medicine | 1304 Glen Burnie Ct, Virginia Beach, VA 23454-6580 | 2009-11-13 |
| 1164676409 | Nasrin Ejtemaee Md PC | Family Medicine | 8375a Greensboro Dr, Mc Lean, VA 22102-3529 | 2008-11-13 |
| 1841459922 | Yeneisha Greene | Family Medicine | 4201 Wilson Boulevard, Arlington, VA 22230 | 2008-06-04 |
| 1801096458 | Richard Detwiler Alderfer | Family Medicine | 137 Nottingham Ln, Waynesboro, VA 22980-6544 | 2007-07-23 |
| 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.