Fernanda Gurgel Levine, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401414679 Issued in VA

Practice address

6707 Old Dominion Dr Ste 230
MC Lean, VA 22101-4507

Phone

(202) 680-9272

NPI assigned

Jul 27, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1063768034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 OLD DOMINION DR STE 230",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014507",
            "telephone_number": "202-680-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 OLD DOMINION DR STE 230",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014507",
            "telephone_number": "202-680-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "FERNANDA",
        "middle_name": "GURGEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Renee Lemarr, DO
• Kathryn A. Lemmerman, M.D.
• Vitalena Jennie Leon
• John Leso, PH.D.
• Elisabeth Levi
• Beulah Levy, MSW#
• Eva Li, D.O.
• Kai Li, MD
• Nicholas B Liappis, LPC
• Liberty Home Care Nursing Agency LLC

• Dentist in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.