Odontuya Purevsanga, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024175395 Issued in VA

Practice address

2 Pidgeon Hill Drive, Suite 400
Sterling, VA 20165-6129

Phone

(703) 430-7090

Fax

(703) 444-9878

NPI assigned

Oct 29, 2014

Last updated

Jan 10, 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Alternative Wellness Clinic

  • Rehabilitation Chiropractor
  • Sterling, VA
  • NPI 1306052766
  NPD (past)
• Olympus Medical House Calls

  • Primary Care Clinic/Center
  • Salt Lake City, UT
  • NPI 1508162736
  NPD (past)

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1811392103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 N TAYLOR ST APT 408",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222014774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PIDGEON HILL DRIVE, SUITE 400",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201656129",
            "telephone_number": "703-430-7090",
            "fax_number": "703-444-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUREVSANGA",
        "first_name": "ODONTUYA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "201500384NP-PP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704288222",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024175395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811392103",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Professional Sportscare & Rehab, LLC (Pivot Physical Therapy)
• Progressive Feet LLC
• Prosynthesis Laboratories, Inc. (Unjury Protein)
• Igor Pryadkin
• Ptab LLC
• Tarunashri Purihella, DDS
• PVS Dental PLLC
• Stephanie Marie Pysher, M.S., R.D., L.D.
• Johana Quispe
• Furhan Rashid Qureshi, MD

• Adult Health Nurse Practitioner in Sterling, VA
• Providers in Sterling, 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 Jan 10, 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.