Individual provider Active NPI

Rebecca Cho

  • Administrator Registered Nurse
  • Annandale, VA
National Provider Identifier
1164841045
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
0001209565 Issued in VA
Practice address
7535 Little River Tpke
#310-A
Annandale, VA 22003-2937
Phone
(800) 350-3147
Fax
(571) 350-8225
NPI assigned
Apr 8, 2014
Last updated
Jul 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 0001209565 VA Primary

Addresses

Primary practice location

7535 Little River Tpke
#310-A
Annandale, VA 22003-2937

Mailing address

7535 Little River Tpke
#310-A
Annandale, VA 22003-2937
Phone (800) 350-3147

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0001209565VAMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Friends Health Care Team, Inc. Current Accepting new patients

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
May 1, 2017 Change of OwnershipThis provider was the seller Friends Health Care Team, IncCCN 497736, VA, NPI 1922448984

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1164841045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7535 LITTLE RIVER TPKE",
            "address_2": "#310-A",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032937",
            "telephone_number": "800-350-3147",
            "fax_number": "571-350-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7535 LITTLE RIVER TPKE",
            "address_2": "#310-A",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032937",
            "telephone_number": "800-350-3147",
            "fax_number": "571-350-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "VA",
            "license": "0001209565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.