Organization Active NPI

Poet Medical LLC

  • Psychiatry Physician
  • Ashburn, VA
National Provider Identifier
1265344881
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
POET MEDICAL LLC
Practice address
23710 Schooler PLZ Ste 2023
Ashburn, VA 20148-1920
Phone
(124) 062-6792
NPI assigned
Sep 18, 2026
Last updated
Sep 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Authorized official

Name
Nysa Marinda Paysour
Title
Owner
Phone
(124) 062-6792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

23710 Schooler PLZ Ste 2023
Ashburn, VA 20148-1920

Mailing address

23710 Schooler PLZ Ste 2023
Ashburn, VA 20148-1920
Phone (124) 062-6792

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1265344881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23710 SCHOOLER PLZ STE 2023",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201481920",
            "telephone_number": "124-062-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23710 SCHOOLER PLZ STE 2023",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201481920",
            "telephone_number": "124-062-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POET MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "PAYSOUR",
        "authorized_official_first_name": "NYSA",
        "authorized_official_middle_name": "MARINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "124-062-6792"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.