Organization Active NPI

Fairfax Home Birth

  • Birthing Clinic/Center
  • Fairfax, VA
National Provider Identifier
1124471180
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
FAIRFAX HOME BIRTH
Practice address
10805 Norman Ave
Fairfax, VA 22030-2932
Phone
(703) 534-0373
Fax
(703) 543-9397
NPI assigned
Jul 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Authorized official

Name
Story Jones, CNM
Title
Nurse Midwife, Owner
Phone
(703) 534-0373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X Primary

Addresses

Primary practice location

10805 Norman Ave
Fairfax, VA 22030-2932

Mailing address

10805 Norman Ave
Fairfax, VA 22030-2932
Phone (703) 534-0373

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1124471180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10805 NORMAN AVE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302932",
            "telephone_number": "703-534-0373",
            "fax_number": "703-543-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10805 NORMAN AVE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302932",
            "telephone_number": "703-534-0373",
            "fax_number": "703-543-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX HOME BIRTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "STORY",
        "authorized_official_title_or_position": "NURSE MIDWIFE, OWNER",
        "authorized_official_telephone_number": "703-534-0373",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "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 Jul 14, 2016; 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.