MINUTECLINIC DIAGNOSTIC OF VIRGINIA LLC
NPI 1245979855
Nurse Practitioner - Family in Leesburg, VA

NPI Status: Active since June 01, 2022

Contact Information

19305 RUBY DR
LEESBURG, VA
ZIP 20176
Phone: (866) 389-2727

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 49D1074140
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 09-23-2027

About MINUTECLINIC DIAGNOSTIC OF VIRGINIA LLC

This page provides the complete NPI Profile along with additional information for Minuteclinic Diagnostic Of Virginia Llc, a provider established in Leesburg, Virginia operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1245979855 assigned on June 2022. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Minuteclinic Diagnostic Of Virginia Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Deborah Jean Pincince (Administrator)

NPI
1245979855
Provider Name
MINUTECLINIC DIAGNOSTIC OF VIRGINIA LLC
Entity Type
Organization
Location Address
19305 RUBY DR LEESBURG, VA 20176
Location Phone
(866) 389-2727
Mailing Address
1 CVS DR WOONSOCKET, RI 02895
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-01-2022
Last Update Date
06-01-2022
Code Navigator

A nurse practitioner (NP) like Minuteclinic Diagnostic Of Virginia Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEBORAH JEAN PINCINCE

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(401) 770-3813

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D1074140
Facility Type
Other
Certificate Effective Date
September 24, 2025
Certificate Expiration Date
September 23, 2027
Laboratory Director
AMELIA PIRES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Minuteclinic Diagnostic Of Virginia Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1245979855, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 9 → 18 → 9 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 8 + 5 + 1 + 8 + 7 + 1 + 8 + 8 + 1 + 0 + 24 = 75

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1245979855.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
19305 RUBY DR
LEESBURG, VA 20176
Nurse Practitioner (Family)
19305 RUBY DR
LANSDOWNE, VA 20176
Pharmacy
19305 RUBY DR
LEESBURG, VA 20176
Pharmacist
19305 RUBY DR
LEESBURG, VA 20176
Pharmacist
19305 RUBY DR
LEESBURG, VA 20176
Nurse Practitioner (Family)
19305 RUBY DR
LEESBURG, VA 20176
Nurse Practitioner (Family)
19305 RUBY DR
LEESBURG, VA 20176
Nurse Practitioner (Family)
19305 RUBY DR
LEESBURG, VA 20176
Pharmacist
19305 RUBY DR
LEESBURG, VA 20176
Nurse Practitioner (Family)
19305 RUBY DR
LEESBURG, VA 20176
Nurse Practitioner (Family)
19305 RUBY DR
LEESBURG, VA 20176
Nurse Practitioner (Family)
19305 RUBY DR
LEESBURG, VA 20176
Nurse Practitioner (Family)
19305 RUBY DR
LEESBURG, VA 20176
Nurse Practitioner (Family)
19305 RUBY DR
LEESBURG, VA 20176

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245979855, enumerated as an "organization" on June 01, 2022.

The provider is located at 19305 RUBY DR LEESBURG, VA 20176 and the phone number is (866) 389-2727.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.