Active NPI
Tiffany Loe, PA
- Medical Physician Assistant
- MC Lean, VA
National Provider Identifier
1891831657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110003457
- Practice address
- 8201 Greensboro Dr
Suite 1003
MC Lean, VA 22102-3810 - Phone
- (703) 212-0700
- Fax
- (703) 212-0705
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110003457 | VA | Primary |
Addresses
Primary practice location
8201 Greensboro Dr
Suite 1003
MC Lean, VA 22102-3810
Mailing address
616 E St NW
Apt 622
Washington, DC 20004-2264
Phone (585) 269-4163
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0110003457 | Other | VA | LICENSE |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110003457 | VA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Inova Physician Partners, LLC | Past | Accepting new patients |
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.
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- Family Medicine Physician
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- NPI 1215264916
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373414400000",
"number": "1891831657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 E ST NW",
"address_2": "APT 622",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200042264",
"telephone_number": "585-269-4163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 GREENSBORO DR",
"address_2": "SUITE 1003",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221023810",
"telephone_number": "703-212-0700",
"fax_number": "703-212-0705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOE",
"first_name": "TIFFANY",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2013-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110003457",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0110003457",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.