Active NPI
Manjula Devi Parne, RRT
- Pulmonary Function Technologist Certified Respiratory Therapist
- Fairfax, VA
National Provider Identifier
1992462113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Function Technologist Certified Respiratory Therapist
- License
- 0117005867
- Practice address
- 8301 Arlington Blvd Ste 209
Fairfax, VA 22031-2902 - Phone
- (571) 217-0010
- NPI assigned
- Nov 22, 2021
- Last updated
- Feb 5, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Function Technologist Certified Respiratory Therapist | 2278P1006X | 0117005867 | VA | Primary |
| Pulmonary Function Technologist | 225B00000X | 0117005867 | VA |
Addresses
Primary practice location
8301 Arlington Blvd Ste 209
Fairfax, VA 22031-2902
Mailing address
25501 Emerson Oaks Dr
Aldie, VA 20105-3125
Phone (571) 217-0010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992462113 | Medicaid | VA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0117005867 | VA | MD | Pulmonary Function Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Diagnostics Inc | Current | Accepting new patients |
Locations
18005 Dumfries Shopping Plz
Dumfries, VA 22026
Phone (703) 221-8380
8301 Arlington Blvd
Ste 209
Fairfax, VA 22031
Phone (703) 207-8513
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pulmonary Diagnostics Registered Respiratory Therapist
- Fairfax, VA
- NPI 1881351013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675555200000",
"number": "1992462113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25501 EMERSON OAKS DR",
"city": "ALDIE",
"state": "VA",
"postal_code": "201053125",
"telephone_number": "571-217-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8301 ARLINGTON BLVD STE 209",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312902",
"telephone_number": "571-217-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARNE",
"first_name": "MANJULA",
"middle_name": "DEVI",
"credential": "RRT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-22",
"last_updated": "2023-02-05",
"certification_date": "2022-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "2278P1006X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Pulmonary Function Technologist",
"state": "VA",
"license": "0117005867",
"primary": true
},
{
"code": "225B00000X",
"taxonomy_group": "",
"desc": "Pulmonary Function Technologist",
"state": "VA",
"license": "0117005867",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992462113",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.