Individual provider Active NPI

Cheryll Lynn Zellmer, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Kingstowne, VA
National Provider Identifier
1497866313
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
0001096987 Issued in VA
Practice address
6901 S Van Dorn St
Kingstowne, VA 22315-3961
Phone
(703) 313-6300
Fax
(703) 313-6374
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 0001096987 VA Primary

Addresses

Primary practice location

6901 S Van Dorn St
Kingstowne, VA 22315-3961

Mailing address

14455 Turin LN
Centreville, VA 20121-2271
Phone (703) 631-2603

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001096987VAMDAddiction (Substance Use Disorder) Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax County, Virginia PastSince Jun 2, 2018 Accepting new patients

Organizations & group practices 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497866313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14455 TURIN LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212271",
            "telephone_number": "703-631-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 S VAN DORN ST",
            "city": "KINGSTOWNE",
            "state": "VA",
            "postal_code": "223153961",
            "telephone_number": "703-313-6300",
            "fax_number": "703-313-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELLMER",
        "first_name": "CHERYLL",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0001096987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingstowne, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.