Active NPI
Nora Doctor Jose, M.D.
- Pediatric Adolescent Medicine Physician
- Alexandria, VA
National Provider Identifier
1649385089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 0101022607
- Practice address
- 2616 Sherwood Hall LN
Suite 404
Alexandria, VA 22306-3100 - Phone
- (703) 360-0300
- Fax
- (703) 799-7074
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 0101022607 | VA | Primary |
Addresses
Primary practice location
2616 Sherwood Hall LN
Suite 404
Alexandria, VA 22306-3100
Mailing address
2616 Sherwood Hall LN
Suite 404
Alexandria, VA 22306-3100
Phone (703) 360-0300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080748 | Other | VA | ANTHEM PIN |
| 283727 | Other | VA | AMERIGROUP PIN |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101022607 | VA | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nora D. Jose, MD | Adolescent Medicine | Past | 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.
-
- Pediatric Adolescent Medicine Physician
- Alexandria, VA
- NPI 1609035377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1649385089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2616 SHERWOOD HALL LN",
"address_2": "SUITE 404",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223063100",
"telephone_number": "703-360-0300",
"fax_number": "703-799-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2616 SHERWOOD HALL LN",
"address_2": "SUITE 404",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223063100",
"telephone_number": "703-360-0300",
"fax_number": "703-799-7074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSE",
"first_name": "NORA",
"middle_name": "DOCTOR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "VA",
"license": "0101022607",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "080748",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP PIN",
"identifier": "283727",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.