Active NPI
Olgavarnachevallc
- Nurse Practitioner
- Gaithersburg, MD
National Provider Identifier
1114696309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- OLGAVARNACHEVALLC
- Practice address
- 204 Ridgepoint PL
Gaithersburg, MD 20878-5691 - Phone
- (832) 331-4862
- NPI assigned
- Sep 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olga Varnacheva, NP
- Title
- Owner
- Phone
- (832) 331-4862
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
204 Ridgepoint PL
Gaithersburg, MD 20878-5691
Mailing address
204 Ridgepoint PL
Gaithersburg, MD 20878-5691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631232000000",
"number": "1114696309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 RIDGEPOINT PL",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208785691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 RIDGEPOINT PL",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208785691",
"telephone_number": "832-331-4862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLGAVARNACHEVALLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-10",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A",
"authorized_official_last_name": "VARNACHEVA",
"authorized_official_first_name": "OLGA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-331-4862",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.