Ms. Marian Ramirez Bautista
Marian Bautista Javonillo · Nurse Practitioner (Family)

Address: 2000 N Beauregard St. Suite 330, Alexandria, VA 22311
Phone: 7033702400

Ms. Marian Ramirez Bautista (NPI# 1386179414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1386179414
Entity Type Individual
Full Name Ms. Marian Ramirez Bautista
Other Name Marian Bautista Javonillo
Credential FNP-C
Gender Female
Practice Address 2000 N Beauregard St. Suite 330
Alexandria
VA 22311
Practice Telephone 7033702400
Practice Fax Number 7033707214
Mailing Address 2000 N Beauregard St. Suite 330
Alexandria
VA 22311
Mailing Telephone 7033702400
Mailing Fax Number 7033707214
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2017-04-26
Last Update Date 2018-02-21

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers 0024174451 VA

Physician Overview

NPI 1386179414
PAC ID by PECOS 0446514707
Professional Enrollment ID I20180514002241
Full Name Marian Ramirez Bautista
Organization Legal Name LOUDOUN MEDICAL GROUP PC
Phone Number 7033702814
Gender F
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 0042119661
Number of Group Practice Members 211
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490040 INOVA ALEXANDRIA HOSPITAL

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

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1477156776 Caroline Hau Nurse Practitioner 5914 Woodfield Estates Dr, Alexandria, VA 22310-1873 2020-11-18
1043812407 Dhaka Gurung Nurse Practitioner 6405 Edsall Rd, Alexandria, VA 22312-6411 2020-11-11
1275131435 Nora H Elnahas Nurse Practitioner 5882 Wescott Hills Way, Alexandria, VA 22315-5636 2020-10-11
1376158600 Margrek S. Dorsey Nurse Practitioner 1403 Metro Dr Bldg Suiteg-2, Alexandria, LA 71301-3454 2020-09-14
1639784432 Nichole Varga Nurse Practitioner 8174 Bianca Pl, Alexandria, VA 22309-3761 2020-09-09
1831707488 Khudsiatu Tucker Nurse Practitioner 1636 Belle View Boulevard, Alexandria, VA 22307 2020-07-20
1134747850 Lindsey H. Welch Nurse Practitioner 3601 Jackson St, Alexandria, LA 71303-3002 2020-07-09
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1912522061 Andrea Mclure Waters Nurse Practitioner 3018 Jackson St Ste 100, Alexandria, LA 71301-4767 2020-06-15
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Office Location

Street Address 2000 N BEAUREGARD ST. SUITE 330
City ALEXANDRIA
State VA
Zip Code 22311

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356995898 Tika Trotter-mason Counselor 1900 N Beauregard Street, Alexandria, VA 22311 2019-08-01
1710294327 Heather Jo Knowles Scharre Behavior Analyst 4876 West Braddock Road, Alexandria, VA 22311 2010-09-02
1790001980 Soft Dentistry Clinic/Center 5508 Seminary Rd, Alexandria, VA 22311 2010-04-13
1093946469 David John Anderson Dentist 5192 Dawes Avenue, Alexandria, VA 22311 2009-08-04
1114109410 Chong W. Lee, M.d., P.C. Surgery 4901 Seminary Road, #110, Alexandria, VA 22311 2007-11-29
1922298819 Ramia Gupta Psychiatry & Neurology 4551 Strutfield Lane, #4220, Alexandria, VA 22311 2007-07-27
1942422431 Sheila Jahan Md PC Psychiatry & Neurology 5238 Dawes Ave, Alexandria, VA 22311 2007-05-03
1457497380 Elizabeth Anne Teegarden Psychologist 5276 Dawes Avenue, Alexandria, VA 22311 2007-01-29
1609932292 James A Snyder Dentist 5284 Dawes Avenue, Alexandria, VA 22311 2006-12-28
1285707018 Karen E Johnson Internal Medicine 2000 North Beauregard St, Ste 360, Alexandria, VA 22311 2006-11-17
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Competitor

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City ALEXANDRIA
Zip Code 22311

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.