Active NPI
Sybil D Pickard, M.D.
- Family Medicine Physician
- Leesburg, VA
National Provider Identifier
1174523898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101238392
- Practice address
- 601 Potomac Station Dr NE
Leesburg, VA 20176-1816 - Phone
- (703) 840-1396
- Fax
- (703) 840-1397
- NPI assigned
- Jul 22, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101238392 | VA | Primary |
Addresses
Primary practice location
601 Potomac Station Dr NE
Leesburg, VA 20176-1816
Mailing address
PO Box 758963
Baltimore, MD 21275-8963
Phone (804) 968-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174523898 | Medicaid | VA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101238392 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Medical Center LTD | Family Medicine | Past | Accepting new patients |
| Washington County Emergency Medicine Physicians, LLC | Past | Accepting new patients | |
| MD Wellness and Weight Management, PLLC | Past | Accepting new patients | |
| Pratt Medical Center LTD | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Clinical Medical Laboratory
- Fredericksburg, VA
- NPI 1003840950
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1316973555
-
- Clinic/Center
- Greensboro, NC
- NPI 1306079199
-
- Emergency Care Clinic/Center
- Hagerstown, MD
- NPI 1205826724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391990400000",
"number": "1174523898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 758963",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212758963",
"telephone_number": "804-968-5700",
"fax_number": "804-217-7991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 POTOMAC STATION DR NE",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201761816",
"telephone_number": "703-840-1396",
"fax_number": "703-840-1397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKARD",
"first_name": "SYBIL",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-22",
"last_updated": "2014-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101238392",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174523898",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.