Mary Nolan, CPNP,

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0024164595 Issued in VA

Practice address

10527 Braddock Rd
Fairfax, VA 22032-2247

Phone

(703) 425-3300

Fax

(703) 372-5244

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marygrigisnolan@tpedg.allscriptsdirect.net

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.

• The Pediatric Group, PC

  • Pediatric Adolescent Medicine Physician
  • Alexandria, VA
  • NPI 1922162205
  NPD
• The Pediatric Group, PC

  • Pediatric Registered Nurse
  • Fairfax,, VA
  • NPI 1851515175
  NPD (past)
• Trusted Doctors LLC

  • Pediatrics Physician
  • Fairfax, VA
  • NPI 1083793525
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1952432106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 C MANCHESTER BLVD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22310",
            "telephone_number": "703-971-6900",
            "fax_number": "703-372-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10527 BRADDOCK RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220322247",
            "telephone_number": "703-425-3300",
            "fax_number": "703-372-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "MARY",
        "credential": "CPNP,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024164595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Alfred Noel, MD
• Catherine Noga
• Myung Sook Noh, DAOM, DIPL.OM, L.AC.
• Dorothy Nolan, LLMSW, LMHP-S
• Erin Nolan, SLP
• Pamela Nolan
• Maike Nolen, LPC
• Daniel J Noonan, MD
• Shah Nooristani
• Nora M Alfaysale DDS PLLC

• Pediatric Nurse Practitioner in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Pediatric Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.