Active NPI
River Crossing Health Inc
- Family Medicine Physician
- Lorton, VA
National Provider Identifier
1902277619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0102203356
- Legal business name
- RIVER CROSSING HEALTH INC
- Practice address
- 9680 Alexandra Nicole Dr
Lorton, VA 22079-3471 - Phone
- (614) 736-3884
- NPI assigned
- Oct 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ikenna S Nzeogu, D.O.
- Title
- Managing Partner
- Phone
- (614) 736-3884
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0102203356 | VA | Primary |
Addresses
Primary practice location
9680 Alexandra Nicole Dr
Lorton, VA 22079-3471
Mailing address
9680 Alexandra Nicole Dr
Lorton, VA 22079-3471
Phone (614) 736-3884
National Provider Directory
National Provider DirectoryLocations
7726 Gunston Plz
Unit 97
Lorton, VA 22199
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Manassas, VA
- NPI 1124316435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444262400000",
"number": "1902277619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9680 ALEXANDRA NICOLE DR",
"city": "LORTON",
"state": "VA",
"postal_code": "220793471",
"telephone_number": "614-736-3884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9680 ALEXANDRA NICOLE DR",
"city": "LORTON",
"state": "VA",
"postal_code": "220793471",
"telephone_number": "614-736-3884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER CROSSING HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-08",
"last_updated": "2015-10-08",
"status": "A",
"authorized_official_last_name": "NZEOGU",
"authorized_official_first_name": "IKENNA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "614-736-3884",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "VA",
"license": "0102203356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lorton, VA
- Reliable Care Medical Supplies LLC
- Reliable Living LLC
- Revcore Healthcare
- Luis Adrian Reyes Arispe, BEHAVIOR TECHNICIAN
- Daniel Ribeiro, DDS
- Brenda Lynn Rolander, CNP
- Rosenman-Brendmoen PLLC (Springfield Lorton Dental Gorup)
- Joyce Elizabeth Rowley, MS RDN LDN
- Ruair Theraputics LLC,
- Mary Teresa Ryder, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.