Danah Jagueta Balmaceda, NURSE PRACTITIONER
Individual provider Active NPI Critical Care Medicine Nurse Practitioner · Dulles, VA
NPI 1033720487 · NPPES record last updated Sep 29, 2023
Key facts
- NPI
- 1033720487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine Nurse Practitioner 363LC0200X
- License
- 0024179828 (VA)
- Practice address
- 24430 Stone Springs Blvd
Dulles, VA 20166-2267 - Phone
- (571) 439-4000
- NPI assigned
- Aug 10, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Intensive Care Consortium Inc
Sentara Medical Group
Commonwealth Critical Care LLC
Practice addresses (Care Compare)
1602 Skipwith Rd
Richmond, VA 23229-5205
Phone (615) 372-3372
1850 Town Ctr Pkwy
Reston, VA 20190-3204
Phone (703) 689-9000
400 Sentara Cir
Suite 201a
Williamsburg, VA 23188-5716
Phone (757) 984-3975
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6040
Hospital & facility affiliations
- Reston Hospital Center
- Sentara Williamsburg Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201007001037 | VA | Practitioner - Nurse Practitioner | 3476972688 | Reassigns benefits to 5 organizations |
| I20240306001763 | DC | Practitioner - Nurse Practitioner | 3476972688 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Critical Care PLLC | Current |
Accepting new patients | |
| Nova Pulmonary Critical Care and Sleep Associates, LLC | Current |
Accepting new patients | |
| Intensive Care Consortium Inc | Current |
Accepting new patients | |
| Sentara Medical Group | Current |
Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
10716 Richmond Hwy
Ste 204
Lorton, VA 22079
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500
1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400
24430 Stone Springs Blvd
Ste 200
Sterling, VA 20166
Phone (571) 367-0000
24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696
400 Sentara Cir
Ste 201A
Williamsburg, VA 23188
Phone (757) 984-3975
2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000
Interoperability endpoints
- https://api.platform.athenahealth.com/15876/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 0024179828 | VA | |
| Adult Health Nurse Practitioner | 363LA2200X | 0024179828 | VA | |
| Gerontology Nurse Practitioner | 363LG0600X | 0024179828 | VA | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 0024179828 | VA | Yes |
Addresses
Primary practice location
24430 Stone Springs Blvd
Dulles, VA 20166-2267
Mailing address
24430 Stone Springs Blvd
Dulles, VA 20166-2267
Phone (571) 349-5330
Other practice location 1
400 Sentara Cir Ste 201A
Williamsburg, VA 23188-5716
Phone (757) 984-3975
Other names
- Danah J Balmaceda-Leeson
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Chantilly | Other | |
| CONNECT URL | DULLES | Health Information Exchange (HIE) | |
| CONNECT URL | DULLES | ||
| Other URL | DULLES |
Other providers in Dulles, VA
- Alta Behavioral Health Services
- Jihad Alwarith
- Agnes Ambrosi
- American Oncology Partners, P.a.
- Ali Alrasheed Ibrahim Awadallah
- Barakat Orthodontics
- Rana Barakat
- Bay State Medical, Inc
- Bba Home Health Care LLC
- Stephanie Bergado
All providers in Dulles, VA · Critical Care Medicine Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.