Advance Health Ipa, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

ADVANCE HEALTH IPA, LLC

Practice address

14121 Parke Long CT Ste 201
Chantilly, VA 20151-1647

Phone

(571) 449-8962

NPI assigned

Aug 14, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Alicia J Palmer

Title

General Counsel

Phone

(571) 449-8962

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joella Sizemore, APRN

  • Family Nurse Practitioner
  • Hazard, KY
  • NPI 1841570280
  NPD (past)

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790201523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14121 PARKE LONG CT STE 201",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511647",
            "telephone_number": "571-449-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14121 PARKE LONG CT STE 201",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511647",
            "telephone_number": "571-449-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE HEALTH IPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "571-449-8962",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adams Compassionate Healthcare Network
• Leah Adams
• Lidiya Kalayou Adhana
• Pramod Prasad Adhikari
• Sadie Louise Adimi
• Affordable Dentures & Implants - Chantilly, P.C.
• Agape Health Management Inc
• Zeitu Agza
• Zainab Ahmadi
• Elkhadir Ahmed

• Exclusive Provider Organization in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Exclusive Provider Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.