Individual provider Active NPI

Fonya Atabong, DNP RN

  • Nursing Care Agency
  • Woodbridge, VA
National Provider Identifier
1891492302
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Practice address
15000 Potomac Town PL Ste 100-147
Woodbridge, VA 22191-6586
Phone
(571) 762-0189
NPI assigned
Feb 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

15000 Potomac Town PL Ste 100-147
Woodbridge, VA 22191-6586

Mailing address

15000 Potomac Town PL Ste 100-147
Woodbridge, VA 22191-6586
Phone (571) 762-0189

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)
Not enrolled
Credentials
Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Aging in Place Caregiving Services Nursing Care CurrentSince Mar 26, 2023 Accepting new patients

Locations

15000 Potomac Town Pl
Ste 100147
Woodbridge, VA 22191
Phone (571) 762-0189

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1891492302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 POTOMAC TOWN PL STE 100-147",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916586",
            "telephone_number": "571-762-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 POTOMAC TOWN PL STE 100-147",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916586",
            "telephone_number": "571-762-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATABONG",
        "first_name": "FONYA",
        "name_prefix": "Dr.",
        "credential": "DNP RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.