Active NPI
Naveen Jonnalagadda
- Surgical Assistant
- Herndon, VA
National Provider Identifier
1659692036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 238.000192
- Practice address
- 13614 Legacy Cir
Apt E
Herndon, VA 20171-4708 - Phone
- (703) 598-3489
- NPI assigned
- Jun 19, 2010
- Last updated
- Apr 18, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 238.000192 | IL | Primary |
Addresses
Primary practice location
13614 Legacy Cir
Apt E
Herndon, VA 20171-4708
Mailing address
13614 Legacy Cir
Apt E
Herndon, VA 20171-4708
Phone (703) 459-7657
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238.000192 | IL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397779200000",
"number": "1659692036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13614 LEGACY CIR",
"address_2": "APT E",
"city": "HERNDON",
"state": "VA",
"postal_code": "201714708",
"telephone_number": "703-459-7657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13614 LEGACY CIR",
"address_2": "APT E",
"city": "HERNDON",
"state": "VA",
"postal_code": "201714708",
"telephone_number": "703-598-3489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONNALAGADDA",
"first_name": "NAVEEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-19",
"last_updated": "2014-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IL",
"license": "238.000192",
"primary": true
}
],
"identifiers": [],
"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 Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.