Active NPI
Barbara Holloway-Toliver, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- Manassas, VA
National Provider Identifier
1154720399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110840259
- Practice address
- 9715 Liberia Ave
Manassas, VA 20110-5837 - Phone
- (571) 229-1797
- Fax
- (804) 217-7991
- NPI assigned
- Aug 13, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110840259 | VA | Primary |
Addresses
Primary practice location
9715 Liberia Ave
Manassas, VA 20110-5837
Mailing address
14366 N Slope St
Centreville, VA 20120-4148
Phone (571) 229-1797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110840259 | VA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407888000000",
"number": "1154720399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14366 N SLOPE ST",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201204148",
"telephone_number": "571-229-1797",
"fax_number": "804-217-7991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9715 LIBERIA AVE",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201105837",
"telephone_number": "571-229-1797",
"fax_number": "804-217-7991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOWAY-TOLIVER",
"first_name": "BARBARA",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-13",
"last_updated": "2014-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110840259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.