Active NPI
Judith Whajah
- Family Nurse Practitioner
- Fairfax, VA
National Provider Identifier
1134726185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024180196
- Practice address
- 13031 Lee Jackson Memorial Hwy
Fairfax, VA 22033-2050 - Phone
- (703) 378-7550
- NPI assigned
- Oct 2, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024180196 | VA | Primary |
Addresses
Primary practice location
13031 Lee Jackson Memorial Hwy
Fairfax, VA 22033-2050
Mailing address
13031 Lee Jackson Memorial Hwy
Fairfax, VA 22033-2050
Phone (703) 378-7550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024180196 | VA | MD | Family Nurse Practitioner |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1134726185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13031 LEE JACKSON MEMORIAL HWY",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332050",
"telephone_number": "703-378-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13031 LEE JACKSON MEMORIAL HWY",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332050",
"telephone_number": "703-378-7550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHAJAH",
"first_name": "JUDITH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-02",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024180196",
"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 Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.