Endocrinology and Diabetes Associates

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

0101239833 Issued in VA

Legal business name

ENDOCRINOLOGY AND DIABETES ASSOCIATES

Practice address

1101 Sam Perry Blvd
Suite 305
Fredericksburg, VA 22401-4467

Phone

(540) 374-3290

Fax

(540) 374-3289

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Robert Lively

Title

Executive Director

Phone

(540) 741-1141

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1710925474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SAM PERRY BLVD",
            "address_2": "SUITE 305",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014467",
            "telephone_number": "540-374-3290",
            "fax_number": "540-374-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SAM PERRY BLVD",
            "address_2": "SUITE 305",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014467",
            "telephone_number": "540-374-3290",
            "fax_number": "540-374-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINOLOGY AND DIABETES ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "LIVELY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "540-741-1141"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101239833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sooky Emmanuel-Frank, CPNP-PC
• Empowerment Clinical & Consulting Services of Fredericksburg
• Dawn Michelle Encian, LDN, CNS
• Encompass Health Rehabilitation Hospital of Fredericksburg, LLC
• Endless Hope Discoveries, LLC
• Sarah-Ann Eng, D.C.
• Engage Wellness LLC
• Enhancing Life Senior Day Center
• Laura Enk, DPT
• Areej Nasr Ennasr

• Endocrinology, Diabetes & Metabolism Physician in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.