GRETTA HERBERT


Address: 3620 Joseph Siewick Dr, Suite 307, Fairfax, VA 22033-1756
Phone: 7032811023

GRETTA HERBERT (NPI# 1780078030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780078030
Entity Type Individual
Full Name GRETTA HERBERT
Credential OFFICE ADMINISTRATOR
Practice Address 3620 Joseph Siewick Dr
Suite 307
Fairfax
VA 22033-1756
Practice Telephone 7032811023
Practice Fax Number 7036202331
Mailing Telephone 7032811023
Mailing Fax Number 7036202331
Enumeration Date 2015-03-25
Last Update Date 2015-03-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 541148368 VA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 1063443802 1063443802 01

Office Location

Street Address 3620 JOSEPH SIEWICK DR
SUITE 307
City FAIRFAX
State VA
Zip Code 22033-1756

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689671414 Adil Zahoor Ghauri Internal Medicine 3620 Joseph Siewick Dr, 306, Fairfax, VA 22033-1756 2005-07-07
1144878190 Nicolas Gay Physical Therapist 3620 Joseph Siewick Dr, Suite 201, Fairfax, VA 22033-1758 2019-09-03
1164938247 Han Thi Ngoc Nguyen Nurse Practitioner 3620 Joseph Siewick Dr, Ste 406, Fairfax, VA 22033-1761 2017-12-27
1265885107 Allison Elizabeth Simons Physical Therapist 3620 Joseph Siewick Dr, Suite 106, Fairfax, VA 22033-1756 2016-07-15
1710345525 Paola Andrea Garcia Veizaga Physical Therapist 3620 Joseph Siewick Dr, Fairfax, VA 22033-1756 2016-02-08
1427436062 Maria Tadic Dietitian, Registered 3620 Joseph Siewick Dr, Suite 200, Fairfax, VA 22033-1756 2015-05-15
1356734412 Northern Virginia Surgery Center Anesthesia Anesthesiology 3620 Joseph Siewick Dr, Suite 202, Fairfax, VA 22033-1756 2015-03-13
1396137956 Sarah Margerison Physical Therapist 3620 Joseph Siewick Dr, Suite 100-a, Fairfax, VA 22033-1756 2015-02-19
1457796641 Renascance Dermatology PC Dermatology 3620 Joseph Siewick Dr, Suite 303, Fairfax, VA 22033-1756 2013-05-01
1962749374 Andrew David Elkins Physician Assistant 3620 Joseph Siewick Dr, Ste 100, Fairfax, VA 22033-1757 2013-01-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366074320 Han S Yoo Pharmacist 12200 West Ox Road, Fairfax, VA 22033 2020-02-07
1386137271 Ammar Orthodontics Pllc Dentist 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 2018-06-14
1013360940 Kellyn Patricia Dodd Nurse Practitioner 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 2016-07-15
1659721363 John Du Od PC Optometrist 12618 Victoria Station Ct, Fairfax, VA 22033 2016-06-14
1568861904 Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 12734 Shoppes Lane, Fairfax, VA 22033 2014-08-21
1649696295 Patrisha Lultschik Nurse Practitioner 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 2014-03-06
1912321910 Alyson Huber Nurse Anesthetist, Certified Registered 3600 Joseph Siewick Dr., Fairfax, VA 22033 2014-02-11
1578999314 Aiatulah Surmaty Optometrist 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 2013-09-25
1356780928 Ayatallah M. Khafagy Obstetrics & Gynecology 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 2013-06-17
1760726665 Michelle Elise Schwartz Speech-Language Pathologist 3507 Curtice Farm Dr, Fairfax, VA 22033 2012-11-15
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841748829 Katherine Thompson Specialist 3525 Mclean Ave, Fairfax, VA 22030-3007 2016-09-19
1932574019 Tracie Reyes Specialist 11240 Waples Mill Rd Ste 100, Fairfax, VA 22030-6078 2015-12-01
1669845236 Lauren Washington Specialist 11240 Waples Mill Rd Ste 301, Fairfax, VA 22030-6078 2015-11-04
1457746513 Stephanie Bolger Specialist 10700 Zion Dr, Fairfax, VA 22032-3432 2015-04-05
1588066096 Erin Stephenson Specialist 12881 Fair Valley Ct, Fairfax, VA 22033-3816 2014-09-16
1609114081 Rachel Fannell Eisenfeld Specialist 10660 Page Ave, Fairfax, VA 22030-4098 2013-01-20
1043563422 Maryann G Rozzell Specialist 3422 Barkley Dr, Fairfax, VA 22031-2724 2012-10-22
1861776551 Wilbert Aguila Specialist 12678 Marcum Ct, Fairfax, VA 22033-2457 2011-09-29
1558692681 Jacquelyn Lewis Specialist 1193 Ethan Allen Hwy, Fairfax, VT 05454-5433 2010-01-29
1861679896 Linda O'toole Glick Specialist 11106 Del Rio Dr, Fairfax, VA 22030-5339 2008-01-22
Find all providers in FAIRFAX

Competitor

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City FAIRFAX
Zip Code 22033

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Dataset Information

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.

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