Active NPI
Noel Qatarneh Johnson, PA
- Medical Physician Assistant
- Manassas, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- 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
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 |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.