Individual provider Active NPI

Tanya Helen Deboer-Chadwell, NP

  • Family Nurse Practitioner
  • Arlington, VA
National Provider Identifier
1457590432
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024164410 Issued in VA
Practice address
3800 Fairfax Dr
Suite #2
Arlington, VA 22203-1711
Phone
(703) 351-5100
Fax
(703) 351-1445
NPI assigned
Feb 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024164410 VA Primary

Addresses

Primary practice location

3800 Fairfax Dr
Suite #2
Arlington, VA 22203-1711

Mailing address

3800 Fairfax Dr
Suite #2
Arlington, VA 22203-1711
Phone (703) 351-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210923003452 DC Practitioner - Nurse Practitioner 1254747801 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024164410VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Xcel Urgent Care LLC CurrentSince Jul 1, 2021 Accepting new patients
The Montgomery Medical Clinic CurrentSince Mar 15, 2021 Accepting new patients
Xcel Primary Care PLLC CurrentSince Dec 1, 2022 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

3800 Fairfax Dr
Ste 2
Arlington, VA 22203
Phone (703) 351-5100

3517 S Jefferson St
Falls Church, VA 22041
Phone (703) 254-9158

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234483200000",
    "number": "1457590432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 FAIRFAX DR",
            "address_2": "SUITE #2",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031711",
            "telephone_number": "703-351-5100",
            "fax_number": "703-351-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 FAIRFAX DR",
            "address_2": "SUITE #2",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031711",
            "telephone_number": "703-351-5100",
            "fax_number": "703-351-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOER-CHADWELL",
        "first_name": "TANYA",
        "middle_name": "HELEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024164410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.