Organization Active NPI

Sherwood Hall Family Practice

  • Family Medicine Physician
  • Alexandria, VA
National Provider Identifier
1295997443
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0004110780 Issued in VA
Legal business name
SHERWOOD HALL FAMILY PRACTICE
Practice address
2616 Sherwood Hall LN
Suite 407
Alexandria, VA 22306-3100
Phone
(703) 360-6200
Fax
(703) 360-6091
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Jean Y Redding
Title
Owneroffice Manager
Phone
(703) 360-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0004110780 VA Primary

Addresses

Primary practice location

2616 Sherwood Hall LN
Suite 407
Alexandria, VA 22306-3100

Mailing address

2616 Sherwood Hall LN
Suite 407
Alexandria, VA 22306-3100
Phone (703) 360-6200

National Provider Directory

National Provider Directory
Tax ID family
Jean Y Redding2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2616 Sherwood Hall Ln
Ste 407
Alexandria, VA 22306
Phone (703) 360-6200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1295997443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 SHERWOOD HALL LN",
            "address_2": "SUITE 407",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063100",
            "telephone_number": "703-360-6200",
            "fax_number": "703-360-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 SHERWOOD HALL LN",
            "address_2": "SUITE 407",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063100",
            "telephone_number": "703-360-6200",
            "fax_number": "703-360-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERWOOD HALL FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "REDDING",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNEROFFICE MANAGER",
        "authorized_official_telephone_number": "703-360-6200"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0004110780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.