Active NPI
Michelle Iesha Werner, MSATC, CSCS
- Sports Medicine (Family Medicine) Physician
- Bristow, VA
National Provider Identifier
1174228522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 0126001167
- Practice address
- 10322 Bristow Center Dr
Bristow, VA 20136-2201 - Phone
- (571) 284-4230
- NPI assigned
- Apr 4, 2023
- 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 |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 0126001167 | VA | Primary |
Addresses
Primary practice location
10322 Bristow Center Dr
Bristow, VA 20136-2201
Mailing address
4259 Bear Hollow TRL
Haymarket, VA 20169-1708
Phone (571) 283-5535
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126001167 | VA | MD | Sports Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1174228522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4259 BEAR HOLLOW TRL",
"city": "HAYMARKET",
"state": "VA",
"postal_code": "201691708",
"telephone_number": "571-283-5535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10322 BRISTOW CENTER DR",
"city": "BRISTOW",
"state": "VA",
"postal_code": "201362201",
"telephone_number": "571-284-4230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNER",
"first_name": "MICHELLE",
"middle_name": "IESHA",
"credential": "MSATC, CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-04",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "VA",
"license": "0126001167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bristow, VA
- Barry Lee Valentine, LCSW
- Howard Richard Van Nostrand, D.C., B.S., B.A.
- Ann Elizabeth Vaughn
- Virginia CVS Pharmacy, L.L.C. (CVS Pharmacy # 00794)
- Walgreen Co (Walgreens #12167)
- Lindsay Wiecki, PA-C
- Wishbone Counseling, LLC
- Aleksandra Woessner, PT, DPT, CLT, CFPS
- Jason Haesung Yim, PHARM.D
- Yoon and Yoon Dentistry PLLC (Better Life Family Dentistry in Bristow)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.