Active NPI
Maureen B Lozzi, R.N., C.A.N.P
- Adult Health Nurse Practitioner
- Fairfax, VA
National Provider Identifier
1104028158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1104022858
- 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, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1104022858 | VA | MD | Adult 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.