Mercy Mkorombindo, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95006003 Issued in CA

Practice address

14121 Parke Long CT Ste 201
Chantilly, VA 20151-1647

Phone

(855) 247-1940

NPI assigned

Aug 31, 2017

Last updated

Aug 31, 2017By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Drynachan LLC

  • Nurse Practitioner
  • Chantilly, VA
  • NPI 1891044657
  NPD (past)

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1407374382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 MIRA MONTE CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475041",
            "telephone_number": "909-478-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14121 PARKE LONG CT STE 201",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511647",
            "telephone_number": "855-247-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MKOROMBINDO",
        "first_name": "MERCY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindwell Psychology
• Mire Health Group
• Mahnoor Mirza
• Kiana Kyle D. Misterio, OTR/L
• Erin Mitchell, NP
• Moa Mid-Atlantic Chantilly PC
• Moa Mid-Atlantic LLC
• Daren Moat, PT
• Modaresi & Avin DDS PLLC
• Modi & Associates P.C.

• Family Nurse Practitioner in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; 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.