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Penelope Maria Dube , LPN

Licensed Practical Nurse β€’ Ashburn, VA

Active NPI 1629886957 Individual Practitioner Female Practitioner
Practice location in NPPES

21035 Sycolin Rd Ste 55
Ashburn, VA 201474311

Call 7034964616 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

21035 Sycolin Rd Ste 55

Ashburn, VA 201474311

Telephone 7034964616
Fax 7034964615
Organization at the Same NPPES Address or Phone
Sweet Virginia Care Llc Facility NPI 1386002442

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Chester, WV. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Ashburn and Virginia

3 active clinicians are listed under Licensed Practical Nurse with a practice address in Ashburn, VA (616 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-12-19
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES VA 0002099105

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Secondary Practice Locations

12 Lotus Ave

Chester, WV 260341552

Phone: 8665201989

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
βœ…
NPI Profile Active December 19, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 19, 2024

Registered at 21035 SYCOLIN RD STE 55, ASHBURN, VA 201474311 (Tel: 7034964616)

πŸ“
Business Mailing Address (Initial Record) December 19, 2024

Registered at 21035 SYCOLIN RD STE 55, ASHBURN, VA 201474311 (Tel: 7034964616)

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Secondary Practice Location Registered December 19, 2024

Additional practice office at 12 Lotus Ave, Chester, WV 260341552

πŸ‘€
Provider Name / Credentials (Initial Record) December 19, 2024

Recorded as PENELOPE DUBE, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2024

Licensed Practical Nurse (license number reported to NPPES: VA 0002099105)

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Initial NPI Registration & Enumeration December 19, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629886957
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2024
Last Update: December 19, 2024
Sole Proprietor: No

Mailing Address

21035 Sycolin Rd Ste 55

Ashburn, VA 201474311

Phone: 7034964616

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.