Organization Active NPI

Wellness and Vitality P C

  • Health Service Clinic/Center
  • Alexandria, VA
National Provider Identifier
1194184895
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
WELLNESS AND VITALITY P C
Practice address
6020 Richmond Hwy
Ste 100
Alexandria, VA 22303-2157
Phone
(571) 550-9000
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Authorized official

Name
Gevorg Sedrakyan
Title
Medical Director
Phone
(570) 550-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X VA Primary

Addresses

Primary practice location

6020 Richmond Hwy
Ste 100
Alexandria, VA 22303-2157

Mailing address

6020 Richmond Hwy
Ste 100
Alexandria, VA 22303-2157
Phone (571) 550-9000

Other names 1

  • Weight Loss and Vitality Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1194184895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 RICHMOND HWY",
            "address_2": "STE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223032157",
            "telephone_number": "571-550-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 RICHMOND HWY",
            "address_2": "STE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223032157",
            "telephone_number": "571-550-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS AND VITALITY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "SEDRAKYAN",
        "authorized_official_first_name": "GEVORG",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "570-550-9000"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weight Loss and Vitality",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.