NPIMap

Organization Active NPI

Fauquier Hospital Auxiliary

  • Mastectomy Fitter
  • Warrenton, VA
National Provider Identifier
1194378737
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mastectomy FitterTaxonomy code 224900000X
Legal business name
FAUQUIER HOSPITAL AUXILIARY
Practice address
500 Hospital Dr
The Care Boutique
Warrenton, VA 20186
Phone
(540) 316-4437
NPI assigned
Jul 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Authorized official

Name
Diane Marie Von Goellner-Suppa
Title
Manager
Phone
(540) 316-4437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mastectomy FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 224900000X Primary

Addresses

Primary practice location

500 Hospital Dr
The Care Boutique
Warrenton, VA 20186

Mailing address

500 Hospital Dr
The Care Boutique
Warrenton, VA 20186
Phone (540) 316-4437

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1194378737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HOSPITAL DR",
            "address_2": "THE CARE BOUTIQUE",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "20186",
            "telephone_number": "540-316-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HOSPITAL DR",
            "address_2": "THE CARE BOUTIQUE",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "20186",
            "telephone_number": "540-316-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAUQUIER HOSPITAL AUXILIARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "VON GOELLNER-SUPPA",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "540-316-4437"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.