Marceline Ndo

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN200002627 Issued in DC

Practice address

14208 Madrigal Dr
Woodbridge, VA 22193-5953

Phone

(641) 954-2702

NPI assigned

Jul 31, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1083395149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 BRYAN PL SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200204417",
            "telephone_number": "641-954-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14208 MADRIGAL DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935953",
            "telephone_number": "641-954-2702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Bryan Pl SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200204417",
            "country_code": "US",
            "telephone_number": "641-954-2702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14208 Madrigal Dr",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221935953",
            "country_code": "US",
            "telephone_number": "641-954-2702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NDO",
        "first_name": "MARCELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "200002627",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN200002627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fazila Nawabi
• Zora Nazarei
• Mohamad Haroon Nazari, PA
• Emmaculate Ndifor, NP
• Tessa Ndille
• Corine Ndomena
• Neibauer Dental Care, PC
• Neibauer Dental Care, PC
• Gena Rhea Neidert, DDS
• Ghassem A Nejad, MD

• Licensed Practical Nurse in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.