Amber Micah Blor Padilla

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

4128 Roberts Rd
Fairfax, VA 22032-1045

Phone

(240) 291-5816

NPI assigned

Dec 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1275129652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 ROBERTS RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4128 ROBERTS RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321045",
            "telephone_number": "240-291-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "AMBER MICAH",
        "middle_name": "BLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P Jean Drew MD PLC
• John H Pace, M.D.
• Alan Pachter, LCSW
• Sandra Pacios Pujado, DDS, MS, PHD
• Janene Pack, LMHC
• Jessica Padilla, N.P.
• Kyunglim Lainey Paek
• Innocence Apryl Page
• Lauranne Kay Page, LPC
• Stacy Ann Paggi, M.D.

• Student in an Organized Health Care Education/Training Program in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Student in an Organized Health Care Education/Training Program in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.