Organization Active NPI

Belite Medical Center

  • Medical Specialty Clinic/Center
  • Fairfax, VA
National Provider Identifier
1124407135
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
0017136984 Issued in VA
Legal business name
BELITE MEDICAL CENTER
Practice address
3923 Old Lee Hwy
61 A
Fairfax, VA 22030-2428
Phone
(703) 359-9202
NPI assigned
May 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle Wolfe Mayer, NP
Title
Nurse Practitioner
Phone
(202) 557-8138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 0017136984 VA Primary

Addresses

Primary practice location

3923 Old Lee Hwy
61 A
Fairfax, VA 22030-2428

Mailing address

3923 Old Lee Hwy
Arlington, VA 22030
Phone (703) 359-9202

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1124407135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 OLD LEE HWY",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "703-359-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 OLD LEE HWY",
            "address_2": "61 A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302428",
            "telephone_number": "703-359-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELITE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "WOLFE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "202-557-8138",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "VA",
            "license": "0017136984",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.