BETHANN BRENNAN (NPI# 1699253898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699253898 |
| Entity Type | Individual |
| Full Name | BETHANN BRENNAN |
| Credential | LMT |
| Practice Address |
1801 Robert Fulton Dr Ste 230 Reston VA 20191-5461 |
| Practice Telephone | 7033919410 |
| Practice Fax Number | 7034767634 |
| Mailing Telephone | 7033919410 |
| Mailing Fax Number | 7034767634 |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 0019 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1801 ROBERT FULTON DR STE 230 |
| City | RESTON |
| State | VA |
| Zip Code | 20191-5461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| Find all providers in zip 20191 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003974312 | Amy Elizabeth Mckay | Massage Therapist | 12030 N Shore Dr, Reston, VA 20190-4987 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588405 | Gisele Ortiz | Massage Therapist | 1132 E Market St, Charlottesville, VA 22902-5351 | 2020-11-08 |
| 1275134017 | Kendall Burton | Massage Therapist | 4310 Grantlake Rd, Richmond, VA 23234-3649 | 2020-11-06 |
| 1174124952 | Timothy Joel Stansfield | Massage Therapist | 43845 Thornberry Sq Unit 403, Leesburg, VA 20176-3402 | 2020-11-06 |
| 1265033211 | Kati Lambert | Massage Therapist | 100 Bridge St Ste D, Hampton, VA 23669-4067 | 2020-11-05 |
| 1871192542 | Samuel Wood | Massage Therapist | 10169 Niccole Ln, Mechanicsville, VA 23116-4719 | 2020-10-22 |
| 1073111431 | Erik Larson | Massage Therapist | 624 1/2 Charlotte St, Fredericksburg, VA 22401-5704 | 2020-10-16 |
| 1629676531 | Dana Carlton | Massage Therapist | 1340 N Great Neck Rd # 1272263, Virginia Beach, VA 23454-2268 | 2020-10-13 |
| 1609474717 | Tashana Latrice Trotter | Massage Therapist | 1816 Volvo Pkwy, Chesapeake, VA 23320-8122 | 2020-10-12 |
| 1942808118 | Renee Anderson | Massage Therapist | 14701 River Walk Way Apt 216, Woodbridge, VA 22191-5961 | 2020-10-11 |
| 1902404205 | Akeem M Hutcherson | Massage Therapist | 406 W Franklin St, Richmond, VA 23220-4906 | 2020-10-09 |
| 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.