Tanya C. Belliard, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0101057543 Issued in VA

Practice address

14416 Jefferson Davis Hwy
Woodbridge, VA 22191-2801

Phone

(703) 490-8200

Fax

(703) 490-8225

NPI assigned

Nov 1, 2006

Last updated

Nov 10, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tanya C. Belliard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGBEBD/Endpoint/IGBEBD

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.

• Community Health Services, Inc.

  • Family Medicine Physician
  • Woodbridge, VA
  • NPI 1932632858
  Authorized official Same address or phone
• Deardorff & Camacho

  • Specialist
  • Falls Church, VA
  • NPI 1205161205
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1225115033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14416 JEFFERSON DAVIS HWY",
            "address_2": "20",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221912801",
            "telephone_number": "703-490-8200",
            "fax_number": "703-490-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14416 JEFFERSON DAVIS HWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221912801",
            "telephone_number": "703-490-8200",
            "fax_number": "703-490-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLIARD",
        "first_name": "TANYA",
        "middle_name": "C.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "030442",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0101057543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "BELLIARD",
            "middle_name": "C.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anteneh M Belay, MD
• Karen Beliles, M.D.
• Laura Marie Bell, LPC
• Ronda Kay Bell, R.N.
• Chris Belles, PHARMD
• Belmont Bay Operator, LLC (Belmont Bay Rehabilitation and Healthcare Center)
• Beloved1 LLC
• Beltway Home Health LLC
• Catherine Nkeiruka Ben-Agu
• Logan Michael Ben-Ezra, PT, DPT, CSCS

• Medical Physician Assistant in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.