Individual provider Active NPI

Marlyne Tramble-Foster

  • Early Intervention Provider Agency
  • Falls Church, VA
National Provider Identifier
1255753703
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
PGP-0647626 Issued in VA
Practice address
444 W Broad St Unit 424
Falls Church, VA 22046-3349
Phone
(310) 897-0996
NPI assigned
Jan 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X PGP-0647626 VA Primary

Addresses

Primary practice location

444 W Broad St Unit 424
Falls Church, VA 22046-3349

Mailing address

444 W Broad St Unit 424
Falls Church, VA 22046-3349
Phone (310) 897-0996

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
PGP-0647626VAMDEarly Intervention Provider Agency

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1255753703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 W BROAD ST UNIT 424",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463349",
            "telephone_number": "310-897-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W BROAD ST UNIT 424",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463349",
            "telephone_number": "310-897-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAMBLE-FOSTER",
        "first_name": "MARLYNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "VA",
            "license": "PGP-0647626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.

Verify at the official NPI Registry.