Individual provider Active NPI

Taylor A Mastri, PA-C

  • Physician Assistant
  • Manassas, VA
National Provider Identifier
1275036121
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110006121 Issued in VA
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

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0110006121OtherVAVA BOARD OF MEDICINE

Other names 1

  • Taylor Ashley Carlson Former name

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
I20180509002042 DC Practitioner - Physician Assistant 1052675543 Reassigns benefits to 1 organization
I20180626001489 VA Practitioner - Physician Assistant 1052675543 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
363A00000XVAMDPhysician Assistant
0110006121VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Uva Community Health Medical Group, LLC CurrentSince Dec 1, 2023 Accepting new patients
Inova Health Care Services CurrentSince May 14, 2018 Accepting new patients
Inova Health Care Services CurrentSince May 14, 2018 Accepting new patients
Inova Health Care Services CurrentSince May 14, 2018 Accepting new patients
NMG Affiliate Practice I, LLC CurrentSince Dec 1, 2023 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.