Mia Health Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MIA HEALTH INC.

Practice address

5680 King Centre Dr Ste 600
Kingstowne, VA 22315-5755

Phone

(571) 408-9904

NPI assigned

Sep 7, 2022

Last updated

Sep 7, 2022By 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

Griselda Shutermeja

Title

Coo

Phone

(703) 380-6204

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1174244362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4188 LA MAURICIE LOOP",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251953",
            "telephone_number": "703-380-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 KING CENTRE DR STE 600",
            "city": "KINGSTOWNE",
            "state": "VA",
            "postal_code": "223155755",
            "telephone_number": "571-408-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIA HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "SHUTERMEJA",
        "authorized_official_first_name": "GRISELDA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "703-380-6204"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loudoun Medical Group, PC (Kingstowne Urgent Care)
• Loudoun Medical Group, PC (Kingstowne Internal Medicine)
• Seferino Martinez Jr., LPC
• Shannon Herzog McGee, LPC
• MD Nutrition and Lifestyle, LLC
• Yvonne Osei, PMHNP-BC
• Joyce Margaret Stuart, RN, MS, BC
• Cheryll Lynn Zellmer, RN

• Home Health Agency in Kingstowne, VA
• Providers in Kingstowne, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.