Abundant Care Clinic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ABUNDANT CARE CLINIC

Practice address

18702 Red Maple CT
Triangle, VA 22172-1511

Phone

(202) 487-7156

NPI assigned

Jan 16, 2018

Organization subpart

No

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

Authorized official

Name

Paulette Fitzgerald

Title

Office Coordinator

Phone

(703) 964-0757

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1174031892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18702 RED MAPLE CT",
            "city": "TRIANGLE",
            "state": "VA",
            "postal_code": "221721511",
            "telephone_number": "202-487-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18702 RED MAPLE CT",
            "city": "TRIANGLE",
            "state": "VA",
            "postal_code": "221721511",
            "telephone_number": "202-487-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "703-964-0757"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.