NPIMap

Organization Active NPI

Nobe LLC

  • Specialist
  • Fairfax, VA
National Provider Identifier
1144532664
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101102463 Issued in VA
Legal business name
NOBE LLC
Practice address
9848C Main St
Fairfax, VA 22031-3908
Phone
(703) 273-2188
Fax
(703) 273-6228
NPI assigned
Jul 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Dr. Nomi Shaool, M.D.NPI 1083812911
Title
Medical Director
Phone
(703) 273-2188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101102463 VA Primary

Addresses

Primary practice location

9848C Main St
Fairfax, VA 22031-3908

Mailing address

9848C Main St
Fairfax, VA 22031-3908
Phone (703) 273-2188

National Provider Directory

National Provider Directory

Locations

9848C Main St
Fairfax, VA 22031
Phone (703) 273-2188

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1144532664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9848C MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313908",
            "telephone_number": "703-273-2188",
            "fax_number": "703-273-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9848C MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313908",
            "telephone_number": "703-273-2188",
            "fax_number": "703-273-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "SHAOOL",
        "authorized_official_first_name": "NOMI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "703-273-2188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101102463",
            "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 13, 2010; 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.