Active NPI
Taylor A Mastri, PA-C
- Physician Assistant
- Manassas, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110006121
- Practice address
- 8640 Sudley Rd Ste 201
Manassas, VA 20110-4404 - Phone
- (703) 368-6819
- NPI assigned
- Mar 16, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 363A00000X | VA | |
| Medical Physician Assistant | 363AM0700X | 0110006121 | VA | |
| Physician Assistant | 363A00000X | 0110006121 | VA | Primary |
Addresses
Primary practice location
8640 Sudley Rd Ste 201
Manassas, VA 20110-4404
Mailing address
8640 Sudley Rd Ste 201
Manassas, VA 20110-4404
Phone (703) 368-6819
Other practice location 1
3300 Gallows Rd
Department of Medicine
Falls Church, VA 22042
Phone (571) 581-3316
Other practice location 2
4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000
Other practice location 3
8640 Sudley Rd Ste 201
Manassas, VA 20110-4404
Phone (703) 368-6819
Other practice location 4
7915 Lake Manassas Dr Ste 302
Gainesville, VA 20155-3260
Phone (571) 248-0653
Other practice location 5
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600
Other practice location 6
44045 Riverside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000
Other practice location 7
2501 Parkers Ln
Alexandria, VA 22306-3209
Phone (703) 664-7000
Other practice location 8
170 W Shirley Ave Ste 205
Warrenton, VA 20186-3083
Phone (540) 347-2470
Other practice location 9
8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 396-5292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0110006121 | Other | VA | VA BOARD OF MEDICINE |
Other names 1
- Taylor Ashley Carlson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15225 Heathcote Blvd
Haymarket, VA 20169-6264
Phone (703) 396-5292
8644 Sudley Rd
Manassas, VA 20110-4425
8691 Stonewall Rd
Manassas, VA 20110-4510
Phone (571) 833-7951
8700 Sudley Rd
Manassas, VA 20110-4418
Phone (571) 261-3270
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 363A00000X | VA | MD | Physician Assistant |
| 0110006121 | VA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uva Community Health Medical Group, LLC | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| NMG Affiliate Practice I, LLC | Current | Accepting new patients | |
| Uva Community Health Medical Group, LLC | Past | Accepting new patients |
Locations
4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000
2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000
4105 Lewis and Clark Dr
Charlottesvle, VA 22911
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
8503 Arlington Blvd
Fairfax, VA 22031
Phone (703) 970-2670
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
8691 Stonewall Rd
Manassas, VA 20110
Phone (703) 368-1182
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
8640 Sudley Rd
Ste 201
Manassas, VA 20110
Phone (703) 368-6819
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Charlottesville, VA
- NPI 1598475741
-
- Hospitalist Physician
- Warrenton, VA
- NPI 1225558109
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Pediatrics Physician
- Gainesville, VA
- NPI 1386113835
-
- Diagnostic Radiology Physician
- Waldorf, MD
- NPI 1851829550
-
- Family Medicine Physician
- Manassas, VA
- NPI 1366744039
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Culpeper, VA
- NPI 1669538047
-
- General Acute Care Hospital
- Haymarket, VA
- NPI 1124369137
-
- General Acute Care Hospital
- Manassas, VA
- NPI 1417005760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1275036121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8640 SUDLEY RD STE 201",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104404",
"telephone_number": "703-368-6819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8640 SUDLEY RD STE 201",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104404",
"telephone_number": "703-368-6819"
}
],
"practiceLocations": [
{
"address_1": "3300 Gallows Rd",
"address_2": "Department of Medicine",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "22042",
"country_code": "US",
"telephone_number": "571-581-3316",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4320 Seminary Rd",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223041535",
"country_code": "US",
"telephone_number": "703-504-3000",
"fax_number": "703-504-3388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8640 Sudley Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201104404",
"country_code": "US",
"telephone_number": "703-368-6819",
"fax_number": "703-368-0203",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7915 Lake Manassas Dr Ste 302",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "VA",
"postal_code": "201553260",
"country_code": "US",
"telephone_number": "571-248-0653",
"fax_number": "571-248-0658",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3600 Joseph Siewick Dr",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220331709",
"country_code": "US",
"telephone_number": "703-391-3600",
"fax_number": "703-391-3414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "44045 Riverside Pkwy",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "VA",
"postal_code": "201765101",
"country_code": "US",
"telephone_number": "703-858-6000",
"fax_number": "703-858-6900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2501 Parkers Ln",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223063209",
"country_code": "US",
"telephone_number": "703-664-7000",
"fax_number": "703-664-7666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "170 W Shirley Ave Ste 205",
"address_purpose": "LOCATION",
"city": "Warrenton",
"state": "VA",
"postal_code": "201863083",
"country_code": "US",
"telephone_number": "540-347-2470",
"fax_number": "540-349-4683",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8700 Sudley Rd",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201104418",
"country_code": "US",
"telephone_number": "703-396-5292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASTRI",
"first_name": "TAYLOR",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-16",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "363A00000X",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110006121",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110006121",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA BOARD OF MEDICINE",
"identifier": "0110006121",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TAYLOR",
"last_name": "CARLSON",
"middle_name": "ASHLEY",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
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 Feb 12, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.