Adaku Lilian Izunwanne

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

0024171147 Issued in VA

Practice address

9306 Forest Point Cir
Manassas, VA 20110-4700

Phone

(703) 330-3322

Fax

(703) 330-5051

NPI assigned

Apr 16, 2014

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 VA, DC2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Arun K Gupta PC

  • Cardiovascular Disease Physician
  • Manassas, VA
  • NPI 1093997900
  Medicare reassignment NPD
• Alignmed Partners, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  DC, VA

  Medicare reassignment NPD
• Carelon Medical Partners, PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1124443403

  DC

  Medicare reassignment

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1104245224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9306 FOREST POINT CIR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104700",
            "telephone_number": "703-330-3322",
            "fax_number": "703-330-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9306 FOREST POINT CIR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104700",
            "telephone_number": "703-330-3322",
            "fax_number": "703-330-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZUNWANNE",
        "first_name": "ADAKU",
        "middle_name": "LILIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024171147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilbert Raymond Irwin, M.D.P.C.
• Ismile of Manassas PLLC
• Salihah Israel
• Lisa Knierim Ivanov, CCC/SLP
• Amitis Izadi Lowery
• J Nelson MD PC
• Akira Jackson, CSW
• Keira Michelle Jackson
• Robin Joelle Jackson, LPC
• Sabrina Jackson, LPC

• Gerontology Nurse Practitioner in Manassas, VA
• Providers in Manassas, VA by specialty
• Gerontology Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.