Christian Lavenia

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024171809 Issued in VA

Practice address

8109 Hinson Farm Rd
Suite 504
Alexandria, VA 22306-3415

Phone

(703) 780-2800

Fax

(703) 780-0461

NPI assigned

Aug 12, 2014

Sex

Male

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Alliance Medical Team LLCGroup PAC ID 9133652852, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Alliance Medical Team LLC

  • Internal Medicine Physician
  • Woodbridge, VA
  • NPI 1417792599
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1790194017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7764 ARMISTEAD RD",
            "address_2": "SUITE 204",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791919",
            "telephone_number": "703-339-3806",
            "fax_number": "703-372-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8109 HINSON FARM RD",
            "address_2": "SUITE 504",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063415",
            "telephone_number": "703-780-2800",
            "fax_number": "703-780-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVENIA",
        "first_name": "CHRISTIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024171809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene Joy Latta, MSW
• Andrea Lattimore, FNP-BC
• David A Lattimore
• Megan Lau, RBT
• Lauren Gibberman DDS PLLC
• Robert Alan Lavine, PH.D.
• Isabella Michelle Lavista, PA-C
• Lawrence D. Singer
• Lawrence M Kotler DDS Ms
• Amber Esplin Lawrence, RDN

• Adult Health Nurse Practitioner in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.