Individual provider Active NPI

Marina Treglia, CNP

  • Adult Health Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1114338308
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN2284715 Issued in MA
Practice address
3020 Hamaker CT Ste 400
Fairfax, VA 22031-2231
Phone
(703) 876-0800
Fax
(703) 876-0866
NPI assigned
May 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2284715 MA
Adult Health Nurse Practitioner 363LA2200X RN2284715 MA Primary

Addresses

Primary practice location

3020 Hamaker CT Ste 400
Fairfax, VA 22031-2231

Mailing address

3020 Hamaker CT Ste 400
Fairfax, VA 22031-2231
Phone (703) 876-0800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clinical@ncf.directbygreenway.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231114000849 DC Practitioner - Nurse Practitioner 0547567638 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2284715MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Center of Fairfax, LTD CurrentSince Sep 1, 2023 Accepting new patients

Locations

3020 Hamaker Ct
Fairfax, VA 22031
Phone (703) 207-0073

3020 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (703) 864-0800

Interoperability endpoints

  • Direct secure messaging: clinical@ncf.directbygreenway.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1399766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1114338308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 HAMAKER CT STE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312231",
            "telephone_number": "703-876-0800",
            "fax_number": "703-876-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 HAMAKER CT STE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312231",
            "telephone_number": "703-876-0800",
            "fax_number": "703-876-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREGLIA",
        "first_name": "MARINA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-11",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2284715",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN2284715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinical@ncf.directbygreenway.com",
            "affiliation": "N",
            "address_1": "3020 Hamaker Ct Ste 400",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220312231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.