Angela Roark, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024172916 Issued in VA

Practice address

21785 Filigree CT
Ste 100
Ashburn, VA 20147-6213

Phone

(703) 554-1100

Fax

(703) 554-1122

NPI assigned

Sep 11, 2015

Last updated

Sep 11, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inova Physician Partners, Inc. - Specialists

  • Orthopaedic Surgery Physician
  • Leesburg, VA
  • NPI 1811204050
  NPD (past)

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1710355375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5618 WHEELWRIGHT WAY",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201693186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21785 FILIGREE CT",
            "address_2": "STE 100",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476213",
            "telephone_number": "703-554-1100",
            "fax_number": "703-554-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROARK",
        "first_name": "ANGELA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kira Michelle Rivenbark
• Alejandro Rivera
• Jacqueline Rivera
• Michael Ro, M.D.
• Alice Jeannette Roach, MD
• Danielle Elizabeth Robb, D.D.S
• Roberts Home Medical LLC
• Gillian Robinson-Lavigne, SLP
• Ashley Nicole Robinson, OTR/L
• Tanmaya Rodda

• Family Nurse Practitioner in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.