NPIMap

Organization Active NPI

Jean Y Redding

  • Primary Care Clinic/Center
  • Alexandria, VA
National Provider Identifier
1336224187
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0507097 Issued in VA
Legal business name
JEAN Y REDDING
Practice address
2616 Sherwood Hall LN
Suite 407
Alexandria, VA 22306-3100
Phone
(703) 360-6200
Fax
(703) 360-6091
NPI assigned
Oct 26, 2006
Last updated
Jul 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Ms. Jean Y Redding, SOLE PROPRIETORSHIP
Title
Owner Office Manager
Phone
(703) 360-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0507097 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

Other names 1

  • Sherwood Hall Family Practice Other name

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1336224187",
    "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": "JEAN Y REDDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "REDDING",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER OFFICE MANAGER",
        "authorized_official_telephone_number": "703-360-6200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SOLE PROPRIETORSHIP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0507097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sherwood Hall Family Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 16, 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.