Eleanor Garrett Peacock, MS

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

0139000425 Issued in VA

Practice address

8613 Lee Hwy # 200N
Fairfax, VA 22031-2171

Phone

(703) 208-3155

Fax

(703) 280-9596

NPI assigned

Aug 28, 2018

Last updated

Apr 9, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Virginia Cancer Specialists, P.C.

  • Community/Retail Pharmacy
  • Fairfax, VA
  • NPI 1053847293
  NPD
• Virginia Cancer Specialists, P.C.

  • Hematology & Oncology Physician
  • Fairfax, VA
  • NPI 1346294519
  NPD

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1710468657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E MONROE AVE APT 402",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223013029",
            "telephone_number": "703-615-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8613 LEE HWY # 200N",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312171",
            "telephone_number": "703-208-3155",
            "fax_number": "703-280-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "ELEANOR",
        "middle_name": "GARRETT",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "MA",
            "license": "PGC130",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "VA",
            "license": "0139000425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orit Paytan, LCSW
• Erika Paz
• Courtney Pazienza, RDN
• PD Dental PLLC (Family Dental of Fairfax City)
• PDC Pediatric Dental Care PLLC
• Kristin Pearl
• Sarah Sheasby Pearson, FNP-BC
• Jessica L Peckins
• Lauren Kelli Peckl
• Pediatric Cardiology Associates, P.C.

• Genetic Counselor (M.S.) in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Genetic Counselor (M.S.) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.