Rodeline Dalge

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024171862 Issued in VA

Practice address

8640 Sudley Rd Ste 302
Manassas, VA 20110

Phone

(703) 369-5959

Fax

(703) 369-7473

NPI assigned

Aug 11, 2014

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intensive Care Experts Health Network, LLCGroup PAC ID 6608195599, 99 clinicians

Cardiac Vision LLCGroup PAC ID 9032349733, 66 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Cardiac Vision LLC

  • Cardiovascular Disease Physician
  • Jacksonville, FL
  • NPI 1144651373
  Medicare reassignment Care Compare group NPD
• Intensive Care Experts Health Network LLC

  • Pulmonary Disease Physician
  • Hallandale Beach, FL
  • NPI 1164824397
  Medicare reassignment Care Compare group NPD
• Post Acute Specialists of Florida PLLC

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1992571608

  Nurse Practitioner

  Medicare reassignment NPD
• Inova Health Care Services

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1952320061

  DC

  Medicare reassignment
• Inova Health Care Services

  dba Inova Juniper Program

  • Multi-Specialty Clinic/Center
  • Fairfax, VA
  • NPI 1669511051
  NPD
• Intensive Care Experts Health Network LLC

  • Acute Care Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1184596637
  NPD
• Tipnes Health LLC

  dba Tipnes Health

  • General Practice Physician
  • Tampa, FL
  • NPI 1750164034
  NPD (past)

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1316356728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "703-369-5959",
            "fax_number": "703-369-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8640 SUDLEY RD STE 302",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-369-5959",
            "fax_number": "703-369-7473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12825 Minnieville Rd",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Lake Ridge",
            "state": "VA",
            "postal_code": "221923601",
            "country_code": "US",
            "telephone_number": "703-780-2800",
            "fax_number": "703-780-0461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12825 Minnieville Rd",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Lake Ridge",
            "state": "VA",
            "postal_code": "221923601",
            "country_code": "US",
            "telephone_number": "703-780-2800",
            "fax_number": "703-780-0461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALGE",
        "first_name": "RODELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2020-10-27",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024171862",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024171862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdalge698314@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "12825 Minnieville Rd",
            "address_2": "Suite 202",
            "city": "Lake Ridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221923601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Athanasia Dacey
• Daczkowski Orthodontics (Dr D's Smiles)
• T. Wesley Daczkowski
• Olakunbi Opeyemi Dada
• Dae Heung
• Behaylu Ayalew Dametew, DDS
• Stephanie Mariederosa Dangerfield, OTD- OTR
• Daniel Poth, O.D. and Associates, P.C. (Visionworks Doctors of Optometry)
• Dalton R Daniel, MD
• Linda H. Daniel, M.D.

• Adult Health Nurse Practitioner in Manassas, VA
• Providers in Manassas, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.