Active NPI
Northern Virginia Camp Health Services LLC
- Psychiatric/Mental Health Nurse Practitioner
- Annandale, VA
National Provider Identifier
1235917170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- NORTHERN VIRGINIA CAMP HEALTH SERVICES LLC
- Practice address
- 6715 Little River Tpke Ste 205
Annandale, VA 22003-3546 - Phone
- (410) 870-9380
- NPI assigned
- Sep 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Krystle Brown
- Title
- Billing Manager
- Phone
- (410) 870-9380
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
6715 Little River Tpke Ste 205
Annandale, VA 22003-3546
Mailing address
6715 Little River Tpke Ste 205
Annandale, VA 22003-3546
Phone (410) 870-9380
National Provider Directory
National Provider DirectoryLocations
10332 Main St
Ste 319
Fairfax, VA 22030
Phone (571) 278-6037
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Manassas, VA
- NPI 1164994000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717027200000",
"number": "1235917170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6715 LITTLE RIVER TPKE STE 205",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033546",
"telephone_number": "410-870-9380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6715 LITTLE RIVER TPKE STE 205",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033546",
"telephone_number": "410-870-9380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN VIRGINIA CAMP HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-21",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "KRYSTLE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "410-870-9380",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.