Individual provider Active NPI

Alexis Sienna Halyard

  • Family Medicine Physician
  • Manassas, VA
National Provider Identifier
1144742958
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101279272 Issued in VA
Practice address
8640 Sudley Rd Ste 203
Manassas, VA 20110-4404
Phone
(571) 662-5885
Fax
(703) 368-2498
NPI assigned
Jul 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2022-03066 NC
Family Medicine Physician 207Q00000X 0101279272 VA Primary

Addresses

Primary practice location

8640 Sudley Rd Ste 203
Manassas, VA 20110-4404

Mailing address

8640 Sudley Rd Ste 203
Manassas, VA 20110-4404
Phone (571) 662-5885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231006000400 VA Practitioner - Family Practice 9436580339 Reassigns benefits to 2 organizations
I20231010000290 DC Practitioner - Family Practice 9436580339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Emory University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uva Community Health Medical Group LLCGroup PAC ID 4688587967, 339 clinicians

Practice addresses (Care Compare)

8640 Sudley Rd
Suite 203
Manassas, VA 20110-4404
Phone (703) 368-3161

Hospital & facility affiliations

  • Uva Health Prince William Medical Center Hospital, Manassas, VA, CCN 490045
  • Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2022-03066NCMDFamily Medicine Physician
0101279272VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uva Community Health Medical Group, LLC CurrentSince Mar 4, 2024 Accepting new patients
Inova Health Care Services CurrentSince Aug 28, 2023 Accepting new patients
Inova Health Care Services CurrentSince Aug 28, 2023 Accepting new patients
Uva Community Health Medical Group, LLC Family Medicine Past Accepting new patients

Locations

7617 Little River Tpke
Ste 850
Annandale, VA 22003
Phone (571) 665-6620

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

8640 Sudley Rd
Ste 203
Manassas, VA 20110
Phone (703) 368-3161

8051 Sudley Rd
Manassas, VA 20109
Phone (571) 598-3851

Interoperability endpoints

  • Direct secure messaging: ahalyard618365@direct.healthsystem.virginia.edu
  • Direct secure messaging: ahalyard312032@directhisp.wakemed.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1144742958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8640 SUDLEY RD STE 203",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104404",
            "telephone_number": "571-662-5885",
            "fax_number": "703-368-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8640 SUDLEY RD STE 203",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104404",
            "telephone_number": "571-662-5885",
            "fax_number": "703-368-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALYARD",
        "first_name": "ALEXIS",
        "middle_name": "SIENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2022-03066",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101279272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.