Zahra C Ismaeli, ATC
Individual provider Active NPI Athletic Trainer · Lansdowne, VA
NPI 1972844918 · NPPES record last updated Mar 14, 2013
Key facts
- NPI
- 1972844918
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 0126001410 (VA)
- Practice address
- 19455 Deerfield Ave
Suite 312
Lansdowne, VA 20176-8100 - Phone
- (703) 729-5010
- Fax
- (703) 729-5491
- NPI assigned
- Mar 14, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126001410 | VA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0126001410 | VA | Yes |
Addresses
Primary practice location
19455 Deerfield Ave
Suite 312
Lansdowne, VA 20176-8100
Mailing address
19455 Deerfield Ave
Suite 312
Lansdowne, VA 20176-8100
Phone (703) 729-5010
Other providers in Lansdowne, VA
- Hughes Properties Inc
- Sung Hui Hwang
- Miok Hyoun
- Infectious Diseases and Travel
- Internal Medicine of Loudoun, LLC
- Sean A Jebraili
- David Charles Johnson
- Timothy Sterling Johnson
- Caroline Bari Johnston
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
All providers in Lansdowne, VA · Athletic Trainer in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.