Organization Active NPI

Frontier Integrative Medicine LLC

  • Family Nurse Practitioner
  • Chantilly, VA
National Provider Identifier
1316560873
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
FRONTIER INTEGRATIVE MEDICINE LLC
Practice address
42502 Oxford Forest Cir
Chantilly, VA 20152-5970
Phone
(703) 957-8974
NPI assigned
May 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Salil Malhotra, MSN, DCNPI 1255382990
Title
FNP
Phone
(703) 957-8974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

42502 Oxford Forest Cir
Chantilly, VA 20152-5970

Mailing address

42502 Oxford Forest Cir
Chantilly, VA 20152-5970
Phone (703) 957-8974

National Provider Directory

National Provider Directory

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": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1316560873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42502 OXFORD FOREST CIR",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201525970",
            "telephone_number": "703-957-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42502 OXFORD FOREST CIR",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201525970",
            "telephone_number": "703-957-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER INTEGRATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "SALIL",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "703-957-8974",
        "authorized_official_credential": "MSN, DC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.