Patricia Peck

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024088367 Issued in VA

Practice address

209 Gibson St NW
Leesburg, VA 20176-2122

Phone

(703) 396-6197

Fax

(703) 779-1372

NPI assigned

Oct 12, 2005

Last updated

Dec 23, 2008By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Capital Palliaitve Care Consultants, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Washington, DC
  • NPI 1558687897
  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229990400000",
    "number": "1336137587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 GIBSON ST NW",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762122",
            "telephone_number": "703-396-6197",
            "fax_number": "703-779-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 GIBSON ST NW",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762122",
            "telephone_number": "703-396-6197",
            "fax_number": "703-779-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024088367",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024088367",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premalkumar Rajnibhai Patwa, M.D.
• Nisha Ghimire Paudyal, FNP
• Paul a. Tudder, M.D., F.a.C.O.G., P.C.
• Susmita Paul, D.C.
• Eric Davis Pauley, MD
• Pediatric Behavioral Health Solutions
• Pediatric Feeding & Speech Solutions, PLLC
• Pediatrix Medical Group of the Mid-Atlantic PC
• Pediatrix Medical Group of the Mid-Atlantic PC
• Pediatrix Medical Group PC

• Adult Health Nurse Practitioner in Leesburg, VA
• Providers in Leesburg, 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 Dec 23, 2008; 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.