Active NPI
Judith Anne Niemyer, M.D.
- Internal Medicine Physician
- Arlington, VA
National Provider Identifier
1215259049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101049777
- Practice address
- 1005 N Glebe Rd
Suite 550
Arlington, VA 22201-5718 - Phone
- (202) 431-2376
- NPI assigned
- Feb 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101049777 | VA | Primary |
Addresses
Primary practice location
1005 N Glebe Rd
Suite 550
Arlington, VA 22201-5718
Mailing address
1005 N Glebe Rd
Suite 550
Arlington, VA 22201-5718
Phone (202) 431-2376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01355128 | Other | VA | MEDICARE PROVIDER # |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101049777 | VA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266710400000",
"number": "1215259049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 N GLEBE RD",
"address_2": "SUITE 550",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222015718",
"telephone_number": "202-431-2376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 N GLEBE RD",
"address_2": "SUITE 550",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222015718",
"telephone_number": "202-431-2376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEMYER",
"first_name": "JUDITH",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-21",
"last_updated": "2010-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101049777",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER #",
"identifier": "01355128",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.