Active NPI
Maricarmen Vendrell - Henson, MD
- Pediatrics Physician
- Haymarket, VA
National Provider Identifier
1730397696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0053554
- Practice address
- 5693 Cherokee Run CT
Haymarket, VA 20169-3141 - Phone
- (703) 434-0116
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0053554 | MD | Primary |
| Pediatrics Physician | 208000000X | 12505 | PR |
Addresses
Primary practice location
5693 Cherokee Run CT
Haymarket, VA 20169-3141
Mailing address
5693 Cherokee Run CT
Haymarket, VA 20169-3141
Phone (571) 261-1906
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0053554 | MD | MD | Pediatrics Physician |
| 12505 | PR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186963200000",
"number": "1730397696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5693 CHEROKEE RUN CT",
"city": "HAYMARKET",
"state": "VA",
"postal_code": "201693141",
"telephone_number": "571-261-1906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5693 CHEROKEE RUN CT",
"city": "HAYMARKET",
"state": "VA",
"postal_code": "201693141",
"telephone_number": "703-434-0116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENDRELL - HENSON",
"first_name": "MARICARMEN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0053554",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "12505",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haymarket, VA
- Uva Community Health Medical Group, LLC
- Uva Community Health Medical Group, LLC
- Uva Community Health Medical Group, LLC
- Uva Community Health Medical Group, LLC
- Uva Prince William Medical Center
- Brittani Vickers, MSN, PNP-PC
- Laura Lynn Vinoski
- Virginia Counseling Collective LLC
- Virginia CVS Pharmacy LLC
- Wal-Mart Stores East LP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.