Ernestina Lisa Marie Givan, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH.002024614 Issued in CO

Practice address

9225 Doerr Rd # 1220
Fort Belvoir, VA 22060-2204

Phone

(571) 231-6004

NPI assigned

Dec 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1073273488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 DOERR RD # 1220",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220602204",
            "telephone_number": "571-231-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 DOERR RD # 1220",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220602204",
            "telephone_number": "571-231-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIVAN",
        "first_name": "ERNESTINA",
        "middle_name": "LISA MARIE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH.002024614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NortonSecurityUltra",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5115 Jabara Ct Unit B",
            "city": "Jb Andrews",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207625804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Genisis
• David Scott Giddings, PHARMD
• Aglaed M Gillis, LMSW
• Robin Marie Gilmore, LCSW
• Jordan Giordano, MD
• Nicole M Goble, OTR/L
• Jacinta Gomes, RN
• Angie Gomez
• Daniel L Gonzalez, PHARM.D.
• Eleanor Gonzalez, AGACNP-BC/ ACCNS-AG

• Dental Hygienist in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• Dental Hygienist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.