Loverly Glaze Pelayo-Pugh

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

0017145514 Issued in VA

Practice address

3289 Woodburn Rd Ste 320
Annandale, VA 22003-7354

Phone

(571) 308-1830

Fax

(571) 308-1843

NPI assigned

Dec 17, 2018

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Consonant Healing Medical AssociatesGroup PAC ID 1254662695, 103 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Consonant Healing Medical Associates

  • Surgery Physician
  • Silver Spring, MD
  • NPI 1588122535

  DC, VA

  Medicare reassignment Care Compare group NPD
• Virginia Internal Medicine Inc

  • Internal Medicine Physician
  • Ashburn, VA
  • NPI 1740525245

  DC

  Medicare reassignment NPD
• HCR Manorcare Medical Services of Florida LLC

  • Nurse Practitioner
  • Toledo, OH
  • NPI 1386750420

  VA

  Medicare reassignment NPD
• Healing Partners Plus PLLC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1063217545

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1508337403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3289 WOODBURN RD STE 320",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220037354",
            "telephone_number": "571-308-1830",
            "fax_number": "571-308-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3289 WOODBURN RD STE 320",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220037354",
            "telephone_number": "571-308-1830",
            "fax_number": "571-308-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELAYO-PUGH",
        "first_name": "LOVERLY",
        "middle_name": "GLAZE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0017145514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE",
            "identifier": "0017145514",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "love.pugh@magopsa.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3289 Woodburn Rd Ste 320",
            "city": "Annandale",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220037354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pavilion Med Transportation, LLC
• Pavilion Medical Home Care & Staffing, LLC
• Pavilion Outpatient Therapy LLC
• Pavilion Pace, LLC
• Pediatric Surgical Associates of Northern Virginia
• Leonel Perez Jr., D.D.S, M.D., F.A.C.S
• Personic Neuropsych PLLC
• Peter D Kim MD PC
• Ciara Petry, DPT
• Sarah D Petty, L. AC.

• Gerontology Nurse Practitioner in Annandale, VA
• Providers in Annandale, VA by specialty
• Gerontology Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.