Individual provider Active NPI

Noel Qatarneh Johnson, PA

  • Medical Physician Assistant
  • Manassas, VA
National Provider Identifier
1245869957
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
8100 Ashton Ave Ste 200
Manassas, VA 20109-5688
Phone
(877) 415-4116
NPI assigned
Apr 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

8100 Ashton Ave Ste 200
Manassas, VA 20109-5688

Mailing address

8100 Ashton Ave Ste 200
Manassas, VA 20109-5688
Phone (877) 415-4116

Other practice location 1

415 Church St NE Ste 101
Vienna, VA 22180-4748
Phone (877) 415-4116

Other practice location 2

422 Garrisonville Rd Ste 110
Stafford, VA 22554-1573
Phone (877) 415-4116

Other practice location 3

15195 Heathcote Blvd Ste 210
Haymarket, VA 20169-6245
Phone (877) 415-4116

Other practice location 4

559 Frost Ave Ste 102
Warrenton, VA 20186-3088
Phone (877) 415-4116

Other practice location 5

7617 Little River Trpk
Suite 110
Annandale, VA 22003-2603
Phone (877) 415-4116

Other practice location 6

14904 Richmond Hwy Ste 406
Woodbridge, VA 22191-3908
Phone (877) 415-4116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230328000183 VA Practitioner - Physician Assistant 4082028865 Reassigns benefits to 1 organization
I20230329003450 DC Practitioner - Physician Assistant 4082028865 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: noel.johnson.p1@direct.chv.nextgenshare.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1245869957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 ASHTON AVE STE 200",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095688",
            "telephone_number": "877-415-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 ASHTON AVE STE 200",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095688",
            "telephone_number": "877-415-4116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Church St NE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221804748",
            "country_code": "US",
            "telephone_number": "877-415-4116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "422 Garrisonville Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225541573",
            "country_code": "US",
            "telephone_number": "877-415-4116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15195 Heathcote Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Haymarket",
            "state": "VA",
            "postal_code": "201696245",
            "country_code": "US",
            "telephone_number": "877-415-4116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "559 Frost Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "VA",
            "postal_code": "201863088",
            "country_code": "US",
            "telephone_number": "877-415-4116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7617 Little River Trpk",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "220032603",
            "country_code": "US",
            "telephone_number": "877-415-4116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14904 Richmond Hwy Ste 406",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913908",
            "country_code": "US",
            "telephone_number": "877-415-4116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NOEL",
        "middle_name": "QATARNEH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-04",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.