Angel Maillet

Primary specialty

EEG Specialist/TechnologistTaxonomy code 246ZE0500X

License

S5386612 Issued in VA

Practice address

46715 Westover Ter
Sterling, VA 20165-7506

Phone

(703) 297-5162

NPI assigned

Jan 21, 2015

Last updated

Jan 21, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Encephalon Neurodiagnostics

  • Physiological Laboratory
  • Sterling, VA
  • NPI 1558750877
  NPD (past)

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1174912661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46715 WESTOVER TER",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46715 WESTOVER TER",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657506",
            "telephone_number": "703-297-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAILLET",
        "first_name": "ANGEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": "VA",
            "license": "S5386612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnet Care Health, LLC (Interim Healthcare of Loudoun)
• Houriya Mahboobi, O.D.
• Mahedavi Dental PLLC (Valley Crest Dental)
• Mahgoub DDS PLLC (Loudoun Innovative Dentistry)
• Anisah Mahmood
• Wilmer Maldonado
• Sabina Malhotra, D.P.M.
• Poolatsya Girishbhai Maliwad, P.T.
• Corey Jason Malnikof, DC
• Vivian K Malnikof, DC

• Other Specialist/Technologist in Sterling, VA
• Providers in Sterling, VA by specialty
• Other Specialist/Technologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.