Individual provider Active NPI

Olguine Theard-Chery, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Stafford, VA
National Provider Identifier
1811518962
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024179206 Issued in VA
Practice address
9 Short Branch Rd
Stafford, VA 22556-4635
Phone
(561) 577-7699
NPI assigned
Apr 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024179206 VA Primary

Addresses

Primary practice location

9 Short Branch Rd
Stafford, VA 22556-4635

Mailing address

PO Box 586
Stafford, VA 22555-0586
Phone (561) 577-7699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201007001306 VA Practitioner - Nurse Practitioner 2860811080 Reassigns benefits to 2 organizations
I20260204002580 DC Practitioner - Nurse Practitioner 2860811080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Alliance Medical Team LLCGroup PAC ID 9133652852, 16 clinicians

Practice addresses (Care Compare)

14906 Richmond Hwy
Woodbridge, VA 22191-4016
Phone (609) 335-6595

2729 King St
Alexandria, VA 22302-4008
Phone (609) 335-6595

Hospital & facility affiliations

  • Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mednovations LLC CurrentSince Sep 1, 2020 Accepting new patients
Alliance Medical Team LLC CurrentSince Oct 20, 2025 Accepting new patients

Locations

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

2729 King St
Alexandria, VA 22302
Phone (703) 744-0155

2715 Dogtown Rd
Goochland, VA 23063
Phone (609) 335-6595

14906 Richmond Hwy
Woodbridge, VA 22191
Phone (609) 335-6595

3122 Golansky Blvd
Ste 101
Woodbridge, VA 22192
Phone (571) 989-4134

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1811518962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 586",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225550586",
            "telephone_number": "561-577-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SHORT BRANCH RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225564635",
            "telephone_number": "561-577-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEARD-CHERY",
        "first_name": "OLGUINE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.