Angela Ann Russell Floyd

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024180508 Issued in VA

Practice address

8609 Sudley Rd Ste 105
Manassas, VA 20110-4500

Phone

(703) 393-8883

Fax

(703) 393-8857

NPI assigned

Nov 13, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: angela.russell.floyd.1@8042.direct.athenahealth.com

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.

• Nova Physician Wellness Center PLLC

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1215307400
  NPD (past)

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1114529187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 FAIRFAX ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305209",
            "telephone_number": "212-755-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 SUDLEY RD STE 105",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104500",
            "telephone_number": "703-393-8883",
            "fax_number": "703-393-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL FLOYD",
        "first_name": "ANGELA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024180508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Ann E Bisson, DMD, PC
• Jennifer Duncan Ruckner, MS CCC-SLP
• Adrian Michal Rudiak, DDS
• Evelyn Anna Ruelaz, M.D.
• Shariff Ruffin, LCSW
• Stephanie Marie Rutherford, FNP-C
• Kimberley Dawn Ryan, FNP
• Jeane Marie Ryder, ATC
• S. Kalim Hussaini, DDS, PLLC (Smileworks Orthodontics)
• S. Kalim Hussaini, DDS, PLLC (Smileworks Orthodontics)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.