Active NPI
On the Go Medical Staffing and Education
- Nursing Care Agency
- Herndon, VA
National Provider Identifier
1609141019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 0001197288
- Legal business name
- ON THE GO MEDICAL STAFFING AND EDUCATION
- Practice address
- 555 Grove St Ste 100
Herndon, VA 20170-4728 - Phone
- (571) 707-9812
- NPI assigned
- Mar 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Mary Kathleen Goode
- Title
- Partner/Nurse Instructor
- Phone
- (571) 268-9366
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 0001197288 | VA | |
| Nursing Care Agency | 251J00000X | 0001197288 | VA | Primary |
Addresses
Primary practice location
555 Grove St Ste 100
Herndon, VA 20170-4728
Mailing address
14579 Golden Oak Rd
Centreville, VA 20121-2261
Phone (571) 268-9366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001197288 | Other | VA | VIRGINIA NURSING LICENSE NUMBER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Alexandria, VA
- NPI 1295899607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603670400000",
"number": "1609141019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14579 GOLDEN OAK RD",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201212261",
"telephone_number": "571-268-9366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 GROVE ST STE 100",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704728",
"telephone_number": "571-707-9812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ON THE GO MEDICAL STAFFING AND EDUCATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-19",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A",
"authorized_official_last_name": "GOODE",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "KATHLEEN",
"authorized_official_title_or_position": "PARTNER/NURSE INSTRUCTOR",
"authorized_official_telephone_number": "571-268-9366",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "VA",
"license": "0001197288",
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "VA",
"license": "0001197288",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA NURSING LICENSE NUMBER",
"identifier": "0001197288",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.