THEOPHILINE MARY EBIASAH (NPI# 1679089361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679089361 |
| Entity Type | Individual |
| Full Name | THEOPHILINE MARY EBIASAH |
| Practice Address |
10701 Rosemary Dr Manassas VA 20109-7282 |
| Mailing Address |
8405 Mossy Pines Way Gainesville VA 20155-5209 |
| Practice Telephone | 7032573000 |
| Practice Fax Number | 7032573057 |
| Mailing Telephone | 7039694300 |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2017-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
0001174655 | VA | Nursing Service Providers |
| Street Address |
10701 ROSEMARY DR |
| City | MANASSAS |
| State | VA |
| Zip Code | 20109-7282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144224999 | Maia M Jackson | Pediatrics | 10701 Rosemary Dr, Manassas, VA 20109-7282 | 2005-06-09 |
| 1912445537 | Angela Paul | Dietitian, Registered | 10701 Rosemary Dr, Manassas, VA 20109-7282 | 2017-02-02 |
| 1235686197 | Linh Schwetz | Pharmacist | 10701 Rosemary Dr, Manassas, VA 20109-7282 | 2016-09-07 |
| 1770030637 | Dien Xuan Dinh | Pharmacist | 10701 Rosemary Dr, Manassas, VA 20109-7282 | 2016-09-07 |
| 1194172304 | Melody Khorrami | Pharmacist | 10701 Rosemary Dr, Manassas, VA 20109-7282 | 2016-05-17 |
| 1538556220 | Riley Sean Maurice Dubois | Family Medicine | 10701 Rosemary Dr, Manassas, VA 20109 | 2015-04-20 |
| 1306285333 | Lindsay Michelle Schmid-fertig | Obstetrics & Gynecology | 10701 Rosemary Dr, Manassas, VA 20109-7282 | 2013-06-24 |
| 1730421223 | Jill Jaye Caruso | Pharmacist | 10701 Rosemary Dr, Manassas, VA 20109-7282 | 2013-03-22 |
| 1952643496 | Janice Lee Pham | Pharmacist | 10701 Rosemary Dr, Manassas, VA 20109-7282 | 2013-03-22 |
| 1417299967 | Deborah Huber Linn | Pharmacist | 10701 Rosemary Dr, Manassas, VA 20109-7282 | 2013-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151854 | Laura Zabel | Social Worker | 10220 Launch Circle #103, Manassas, VA 20109 | 2020-07-09 |
| 1659910677 | Leigh Cristi Babin-adkins | Registered Nurse | 10550 Linden Lake Plazza, Manassas, VA 20109 | 2019-12-23 |
| 1326686221 | Sophie Louise Elliot | Speech-Language Pathologist | 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 | 2019-12-11 |
| 1962978221 | Dominique Marie Cytryn | Behavior Technician | Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 | 2018-10-15 |
| 1255829008 | Lyusyena Teper | Physical Therapist | 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 | 2018-04-27 |
| 1861995060 | Mylisa L Ickes | Counselor | 7982 Donegan Drive, Manassas, VA 20109 | 2018-03-14 |
| 1336641885 | Stephanie Joanne Gamboa | Behavior Technician | 1037 Battleview Pkwy, Manassas, VA 20109 | 2018-03-01 |
| 1154822237 | Katherine Sholl | Behavior Technician | 10370 Battleview Parkway, Manassas, VA 20109 | 2018-02-23 |
| 1386168615 | Northern Virginia Checker Cab LLC | Taxi | 7631 Coppermine Dr, Manassas, VA 20109 | 2017-07-28 |
| 1407383201 | Monique Lowery | Social Worker | 7403 Emerald Dr., Manassas, VA 20109 | 2017-05-11 |
| Find all providers in zip 20109 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104220813 | Gigi Elisabeth Dann | Registered Nurse | 9430 Forestwood Ln Ste 100, Manassas, VA 20110-4754 | 2014-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687874 | Leah M Tribus | Registered Nurse | 1236 Windswept Cir, Chesapeake, VA 23320-5010 | 2020-10-20 |
| 1417562505 | Belma Skaljic | Registered Nurse | 8370 Greensboro Dr Unit 314, Mc Lean, VA 22102-3516 | 2020-09-15 |
| 1669085585 | Jennifer Clare Defranco | Registered Nurse | 4475 Corral Rd, Warrenton, VA 20187-5820 | 2020-08-29 |
| 1972126142 | Amy Fay Alliston | Registered Nurse | 308b S Main St Ste 221, Farmville, VA 23901-1744 | 2020-05-22 |
| 1770114068 | Heather Smith | Registered Nurse | 1398 New Hope Rd, Staunton, VA 24401-9262 | 2020-01-27 |
| 1740829506 | Kendra Danielle Carroll | Registered Nurse | 3424 Ashmeade Dr, Roanoke, VA 24018-3702 | 2019-12-27 |
| 1245882802 | Brenda Lee Knighton | Registered Nurse | 12928 Crews Ct, Bristow, VA 20136-3112 | 2019-07-14 |
| 1467011510 | Amy Taylor | Registered Nurse | 4176 S Plaza Trl Ste 217, Virginia Beach, VA 23452-1920 | 2019-06-12 |
| 1679036883 | Alison Grace Stamper Levy | Registered Nurse | 2001 N Upton St, Arlington, VA 22207-2326 | 2019-04-14 |
| 1518426816 | Emily Bender | Registered Nurse | 4781 Back Mountain Rd, Winchester, VA 22602-3462 | 2019-03-16 |
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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.