Chisovereign PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

0101246435 Issued in VA

Legal business name

CHISOVEREIGN PLLC

Practice address

3975 Fair Ridge Dr
Suite 150N
Fairfax, VA 22033-2911

Phone

(703) 246-0011

Fax

(703) 246-0012

NPI assigned

Mar 13, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ijeoma N Nnamani, MD, PHDNPI 1821265570

Title

Director

Phone

(703) 505-2476

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ijeoma Nnechi Nnamani, M.D.

  • Psychiatry Physician
  • Fairfax, VA
  • NPI 1821265570

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1225454291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 FAIR RIDGE DR",
            "address_2": "SUITE 150N",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332911",
            "telephone_number": "703-246-0011",
            "fax_number": "703-246-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 FAIR RIDGE DR",
            "address_2": "SUITE 150N",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332911",
            "telephone_number": "703-246-0011",
            "fax_number": "703-246-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHISOVEREIGN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "NNAMANI",
        "authorized_official_first_name": "IJEOMA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-505-2476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "VA",
            "license": "0101246435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia J Chin, DDS
• Paul Chinnaraj, PHARM.D.
• Megan Chirichella
• Chiropractic Care Inc
• Chiropractic Concepts PLC (Disc Centers of America Fairfax)
• Ameet V Chitale, M.D.
• Elizabeth Chitale, LMFT
• Kathi Lynn Chizzonite, CRNP
• Catherine Haerin Cho, PA-C
• Feng Xiang Cho, BCBA

• Medical Specialty Clinic/Center in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Medical Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.

Verify at the official NPI Registry.