| NPI | 1417076829 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-03-28 |
| Last Updated | 2024-06-24 |
| Authorized Official | Deborah Pincince Administrator Phone: 4017703813 |
| Mailing Address | Po Box 772, Minuteclinic Credentialing-Mc2295 Woonsocket, RI 02895-0784 United States Phone: (401) 770-3813 | Fax: (401) 406-3539 📍 View Map |
| Primary Practice Address | 19305 Ruby Dr Leesburg, VA 20176-6508 United States Phone: (866) 389-2727 | Fax: (401) 406-3539 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 101YP2500X – Counselor, Professional | - | - |
| No | 1041C0700X – Social Worker, Clinical | - | - |
| No | 106H00000X – Marriage & Family Therapist | - | - |
| Yes | 363LF0000X – Nurse Practitioner, Family | - | - |
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About NPI 1417076829
Minuteclinic Diagnostic Of Virginia Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1417076829. The primary specialty listed is Nurse Practitioner, Family. The organization is located in Leesburg, VA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-03-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1417076829?
NPI 1417076829 belongs to Minuteclinic Diagnostic Of Virginia Llc, a Nurse Practitioner, Family in Leesburg, VA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1417076829 active?
The current status of NPI 1417076829 in the NPPES registry is Active. The record was last updated on 2024-06-24.
What specialty is NPI 1417076829?
NPI 1417076829 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1417076829?
You can verify NPI 1417076829 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1417076829?
The primary practice address on file for NPI 1417076829 is 19305 Ruby Dr, Leesburg, VA 20176-6508. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1417076829 issued?
NPI 1417076829 was first issued (enumerated) on 2007-03-28. The NPPES record was last updated on 2024-06-24.
Practice Location Map
Minuteclinic Diagnostic Of Virginia Llc is located at 19305 Ruby Dr, Leesburg, VA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Minuteclinic Diagnostic Of Virginia Llc. All records sourced from the CMS NPPES registry.