S RENEE DENNIS (NPI# 1790262020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790262020 |
| Entity Type | Individual |
| Full Name | S RENEE DENNIS |
| Credential | NP |
| Practice Address |
8316 Arlington Blvd Ste 500 Fairfax VA 22031 |
| Mailing Address |
4493b Beacon Grove Cir Fairfax VA 22033-6039 |
| Practice Telephone | 7038768410 |
| Mailing Telephone | 7042000188 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
24176287 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8316 ARLINGTON BLVD STE 500 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| 1669976221 | Fairfax Family Life Behavioral Health, LLC | Psychiatry & Neurology | Fairfaxpark Office Plaza, 9512 B Lee Highway, Fairfax, VA 22031 | 2018-03-20 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033608989 | Liana Matevosian | Nurse Practitioner | 13104 Cross Keys Ct, Fairfax, VA 22033-1426 | 2018-05-07 |
| 1144674821 | Sonam Norbu | Nurse Practitioner | 4887 Wheatstone Dr, Fairfax, VA 22032-2341 | 2016-04-19 |
| 1992702617 | Mary Choisser Langford | Nurse Practitioner | 12011 Lee Jackson Hwy, Fairfax, VA 22033-3310 | 2005-07-07 |
| 1275179137 | Amelia Ellen Pitha | Nurse Practitioner | 8316 Arlington Blvd, Fairfax, VA 22031-5207 | 2019-11-25 |
| 1710530654 | Elizabeth Renshaw | Nurse Practitioner | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2019-07-19 |
| 1871998302 | Kimberly Soutuyo | Nurse Practitioner | 2722 Merrilee Dr, Suite 230, Fairfax, VA 22031-4420 | 2014-10-27 |
| 1952650236 | Lisa Ann Sullivan | Nurse Practitioner | 3998 Fair Ridge Dr, Ste 320, Fairfax, VA 22033-2907 | 2012-09-03 |
| 1063768539 | Zahra Mohseni | Nurse Practitioner | 8503 Arlington Blvd Ste 200, Fairfax, VA 22031-4629 | 2012-08-02 |
| 1265615041 | Hillary M Morris | Nurse Practitioner | 8503 Arlington Blvd, Suite 200, Fairfax, VA 22031-4628 | 2007-12-14 |
| 1629164389 | Mary L Duggan | Nurse Practitioner | 3650 Joseph Siewick Dr, 400, Fairfax, VA 22033-1710 | 2006-10-04 |
| Find all providers in FAIRFAX | ||||
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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.