Healthcare Provider Details

I. General information

NPI: 1548027923
Provider Name (Legal Business Name): JONATHAN J LOPIENSKI NRP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2024
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8825 BEULAH ST
FORT BELVOIR VA
22060-5847
US

IV. Provider business mailing address

8825 BEULAH ST
FORT BELVOIR VA
22060-5847
US

V. Phone/Fax

Practice location:
  • Phone: 571-239-8408
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: