Atara Health Solutions LTD

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ATARA HEALTH SOLUTIONS LTD

Practice address

14631 Lee Hwy Ste 207
Centreville, VA 20121-5827

Phone

(571) 535-2480

NPI assigned

Jan 10, 2018

Last updated

Apr 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Norman M Jacobowitz, MSN, NP-C, PMHNP-BC

Title

Psychiatric Nurse Practitioner

Phone

(571) 535-2480

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Beth Fisher

  • Nurse Practitioner
  • Fairfax, VA
  • NPI 1134144306
  NPD (past)

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1144737230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12210 FAIRFAX TOWNE CTR STE 702",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14631 LEE HWY STE 207",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201215827",
            "telephone_number": "571-535-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATARA HEALTH SOLUTIONS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "JACOBOWITZ",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "571-535-2480",
        "authorized_official_credential": "MSN, NP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Centreville, VA
• Providers in Centreville, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.