Active NPI
Ann H Maradiegue, NP
- Nurse Practitioner
- Falls Church, VA
National Provider Identifier
1487923397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024060584
- Practice address
- 6150 Beachway Dr
Falls Church, VA 22041-1429 - Phone
- (703) 820-1426
- NPI assigned
- Dec 21, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024060584 | VA | Primary |
Addresses
Primary practice location
6150 Beachway Dr
Falls Church, VA 22041-1429
Mailing address
6196 Arlington Blvd
Bailey'S Health Center
Falls Church, VA 22044
Phone (703) 237-3448
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024060584 | VA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324425600000",
"number": "1487923397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6196 ARLINGTON BLVD",
"address_2": "BAILEY'S HEALTH CENTER",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "22044",
"telephone_number": "703-237-3448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6150 BEACHWAY DR",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220411429",
"telephone_number": "703-820-1426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARADIEGUE",
"first_name": "ANN",
"middle_name": "H",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-21",
"last_updated": "2011-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024060584",
"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 Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.