Active NPI
Rona Harthill Earle
- Internal Medicine Physician
- Fairfax, VA
National Provider Identifier
1023176153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101041264
- Practice address
- 3020 Hamaker CT Ste B102
Fairfax, VA 22031-2220 - Phone
- (703) 573-4072
- Fax
- (703) 572-2153
- NPI assigned
- Dec 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101041264 | VA | Primary |
Addresses
Primary practice location
3020 Hamaker CT Ste B102
Fairfax, VA 22031-2220
Mailing address
3020 Hamaker CT Ste B102
Fairfax, VA 22031-2220
Phone (703) 573-4072
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004573175 | Other | VA | AETNA |
| 3804 | Other | VA | CAREFIRST BCBS |
| 6021620 | Medicaid | VA | |
| 17143 | Other | VA | NCPPO |
| 113266 | Other | VA | ANTHEM BCBS |
| CIGNA | Other | VA | 541932424 0002 |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101041264 | VA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023176153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 HAMAKER CT STE B102",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312220",
"telephone_number": "703-573-4072",
"fax_number": "703-572-2153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 HAMAKER CT STE B102",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312220",
"telephone_number": "703-573-4072",
"fax_number": "703-572-2153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARLE",
"first_name": "RONA",
"middle_name": "HARTHILL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101041264",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004573175",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "3804",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6021620",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "17143",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "113266",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "541932424 0002",
"identifier": "CIGNA",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.