Individual provider Active NPI

Ruby Anumah, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Stafford, VA
National Provider Identifier
1255698635
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024170024 Issued in VA
Practice address
800 Corporate Dr Ste 301
Stafford, VA 22554-4889
Phone
(571) 398-0473
NPI assigned
Apr 23, 2012
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024170024 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024170024 VA Primary

Addresses

Primary practice location

800 Corporate Dr Ste 301
Stafford, VA 22554-4889

Mailing address

800 Corporate Dr Ste 301
Stafford, VA 22554-4889
Phone (571) 398-0473

Other practice location 1

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20120601000012 DC Practitioner - Nurse Practitioner 7810150885 Reassigns benefits to 2 organizations
I20160202001548 VA Practitioner - Nurse Practitioner 7810150885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jan 28, 2023 Accepting new patients
Alpha Haven Homes Psychiatric/Mental Health Current Accepting new patients
Fairfax Internal Medicine Associates, PC CurrentSince May 1, 2012 Accepting new patients
Inova Health Care Services CurrentSince Jan 28, 2023 Accepting new patients
DHMR Clinics, Inc Past Accepting new patients
National Capital Treatment and Recovery Psychiatric/Mental Health Past Accepting new patients

Locations

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

8302 Old Courthouse Rd
Ste C
Vienna, VA 22182
Phone (703) 462-8138

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1255698635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CORPORATE DR STE 301",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225544889",
            "telephone_number": "571-398-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CORPORATE DR STE 301",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225544889",
            "telephone_number": "571-398-0473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANUMAH",
        "first_name": "RUBY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024170024",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024170024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.