Active NPI
Atlas Health LLC
Doing business as CloseKnit
- Family Medicine Physician
- Arlington, VA
National Provider Identifier
1316760580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ATLAS HEALTH LLC
- Doing business as
- CloseKnit
- Practice address
- 2110 Washington Blvd # 445
Arlington, VA 22204-5719 - Phone
- (866) 233-6925
- NPI assigned
- Nov 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Jane Favazza
- Title
- Ceo
- Phone
- (410) 528-7109
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Pediatrics Physician | 208000000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
2110 Washington Blvd # 445
Arlington, VA 22204-5719
Mailing address
1501 S Clinton St
Baltimore, MD 21224-5730
Phone (866) 233-6925
Other names 1
- CloseKnit
National Provider Directory
National Provider Directory- Tax ID family
- Atlas Health LLC
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
Locations
2110 Washington Blvd
#445
Arlington, VA 22204
Phone (866) 233-6925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730764800000",
"number": "1316760580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 S CLINTON ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212245730",
"telephone_number": "866-233-6925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 WASHINGTON BLVD # 445",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222045719",
"telephone_number": "866-233-6925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLAS HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-05",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A",
"authorized_official_last_name": "FAVAZZA",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "410-528-7109"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CloseKnit",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.