Individual provider Active NPI

Maureen B Lozzi, R.N., C.A.N.P

  • Adult Health Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1104028158
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1104022858 Issued in VA
Practice address
3650 Joseph Siewick Dr Ste 107
Fairfax, VA 22033-1711
Phone
(703) 716-2866
Fax
(703) 716-2868
NPI assigned
Jun 1, 2007
Last updated
Mar 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024165830 VA
Adult Health Nurse Practitioner 363LA2200X 1104022858 VA Primary

Addresses

Primary practice location

3650 Joseph Siewick Dr Ste 107
Fairfax, VA 22033-1711

Mailing address

3650 Joseph Siewick Drive
Suite 307
Fairfax, VA 22033
Phone (703) 391-8804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Adult Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1104022858VAMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1104028158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 JOSEPH SIEWICK DRIVE",
            "address_2": "SUITE 307",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22033",
            "telephone_number": "703-391-8804",
            "fax_number": "703-391-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 JOSEPH SIEWICK DR STE 107",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331711",
            "telephone_number": "703-716-2866",
            "fax_number": "703-716-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZZI",
        "first_name": "MAUREEN",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "R.N., C.A.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024165830",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "1104022858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.