LESLIE BERNALES (NPI# 1700119674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700119674 |
| Entity Type | Individual |
| Full Name | LESLIE BERNALES |
| Other Name | LESLIE POUDRIER |
| Credential | REGISTERED NURSE |
| Practice Address |
4213 Walney Rd Chantilly VA 20151-2923 |
| Mailing Address |
3703 Brices Ford Ct Fairfax VA 22033-2429 |
| Practice Telephone | 7035027000 |
| Practice Fax Number | 7035027006 |
| Mailing Telephone | 7036227186 |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2009-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
0001210888 | VA | Nursing Service Providers |
| Street Address |
4213 WALNEY RD |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20151-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306951058 | Janelle Nicole Grike | Registered Nurse | 4213 Walney Rd, Chantilly, VA 20151 | 2006-08-21 |
| 1164021978 | Olga Sears | Registered Nurse | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2020-10-22 |
| 1841899655 | Haileyesus Mekonnen | Registered Nurse | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2020-10-22 |
| 1467050302 | David Rose | Registered Nurse | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2020-10-13 |
| 1093339798 | Troy Houston Criser | Counselor | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2020-05-29 |
| 1366062150 | Katherine Ruth Robinson | Counselor | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2020-04-21 |
| 1417419854 | Jashan Grewal | Counselor | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2019-04-04 |
| 1417425679 | Margaret Beth Gassert | Counselor | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2018-11-06 |
| 1073010690 | Lisa Taylor | Counselor | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2018-04-10 |
| 1336547660 | Shinette Amoh | Licensed Practical Nurse | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2014-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635695 | Sabah Home Care | Home Health | 4221 Walney Rd Suite 500 C, Chantilly, VA 20151 | 2020-06-30 |
| 1205485976 | Huang Wellness Center LLC | Acupuncturist | 14145 Robet Paris Ct, Chantilly, VA 20151 | 2019-09-05 |
| 1376032714 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 14337 Newbrook Drive, Suite 400, Chantilly, VA 20151 | 2018-05-01 |
| 1013405950 | Chantilly Modern Dentistry, PC | Dentist | 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 | 2018-04-26 |
| 1972090389 | Wegmans Food Markets, Inc. | Pharmacy | 14361 Newbrook Dr., Chantilly, VA 20151 | 2018-04-20 |
| 1922526714 | Cynthia Anne Biggar | Specialist/Technologist | 13613 Bare Island Drive, Chantilly, VA 20151 | 2017-09-01 |
| 1497297717 | Rebekah Lee Hinders | Nurse Practitioner | 3914 Centrevill Rd, Suite 101, Chantilly, VA 20151 | 2016-11-17 |
| 1043761117 | Victoria Ranti Balogun | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-10-24 |
| 1619424694 | Erin Booker | Nurse Practitioner | Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-09-07 |
| 1326419078 | Amparo Emilia Kidd | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2015-10-07 |
| Find all providers in zip 20151 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114263894 | Natasha Biney | Registered Nurse | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2012-12-27 |
| 1952618381 | Samuel Ntow Osae | Registered Nurse | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2010-09-07 |
| 1801121447 | Peggy Jean Singer | Registered Nurse | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2009-10-15 |
| 1902131451 | Geraldine Jones | Registered Nurse | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2009-10-15 |
| 1457502627 | Diane Brisk | Registered Nurse | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2008-10-07 |
| 1144429481 | Wanda Deann Orr | Registered Nurse | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2007-07-17 |
| 1700083466 | Cristian Santibanez | Registered Nurse | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2007-06-27 |
| 1851445712 | Jane Ann Stevens | Registered Nurse | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2007-01-22 |
| 1861541278 | Stephanie C Seldon | Registered Nurse | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2007-01-09 |
| 1235287368 | Susan Martin | Registered Nurse | 4213 Walney Rd, Chantilly, VA 20151-2923 | 2007-01-08 |
| Find all providers in CHANTILLY | ||||
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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.