Nadia Peritsalis Herrera, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110-007100 Issued in VA

Practice address

6849 Old Dominion Dr Ste 450
MC Lean, VA 22101-3718

Phone

(703) 356-5111

NPI assigned

Dec 2, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• McLean Dermatology and Skincare Center

  • Medical Specialty Clinic/Center
  • MC Lean, VA
  • NPI 1255645776

  DC

  Medicare reassignment
• Potomac Dermatology and Skincare Center

  • Dermatology Physician
  • Potomac, MD
  • NPI 1215685896
  NPD
• McLean Neuropsychiatric Treatment Center LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • MC Lean, VA
  • NPI 1356935597
  NPD (past)

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1649548801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 H ST SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200242728",
            "telephone_number": "251-610-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6849 OLD DOMINION DR STE 450",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013718",
            "telephone_number": "703-356-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "NADIA",
        "middle_name": "PERITSALIS",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2021-01-13",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "HI",
            "license": "AMD-585",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-007100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian A Hernandez
• Javier Alberto Hernandez
• Colin Herndon
• William Ryan Herr, DPT
• James Fernando Herrera, M.D.
• Colleen Hetrick
• Triston Hewitt
• HH Reconstructive Surgery LLC
• Gina Ellen Hiatt, PH.D.
• Kim Hiday

• Physician Assistant in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.