Individual provider Active NPI

Elise Faith

  • Advanced Practice Midwife
  • Leesburg, VA
National Provider Identifier
1336522986
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
0024172666 Issued in VA
Practice address
19450 Deerfield Ave Ste 460
Leesburg, VA 20176-6840
Phone
(571) 707-8522
Fax
(571) 707-8577
NPI assigned
Jul 1, 2015
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X AC001548 MD
Midwife 176B00000X RN1019571 DC
Midwife 176B00000X 0024172666 VA
Advanced Practice Midwife 367A00000X 0024172666 VA Primary

Addresses

Primary practice location

19450 Deerfield Ave Ste 460
Leesburg, VA 20176-6840

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (301) 340-8339

Other practice location 1

4660 Kenmore Ave
Suite 902
Alexandria, VA 22304-1313
Phone (703) 370-4300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elise.faith.p1@direct.cwcare.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201001001620 VA Practitioner - Certified Nurse Midwife (CNM) 3173942604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians

Practice addresses (Care Compare)

46179 Westlake Dr
Suite 240
Potomac Falls, VA 20165-5874
Phone (703) 430-7770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN1019571DCMDMidwife
AC001548MDMDMidwife
0024172666VAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Women's Care, L.L.C. CurrentSince Jul 5, 2022 Accepting new patients
Obhg Virginia, LLC CurrentSince Jul 24, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Capital Women's Care, L.L.C. Past Accepting new patients

Locations

8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

19450 Deerfield Ave
Ste 460
Leesburg, VA 20176
Phone (571) 707-8522

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

46179 Westlake Dr
Ste 240
Potomac Falls, VA 20165
Phone (703) 368-1969

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

Interoperability endpoints

  • Direct secure messaging: elise.faith.1@8042.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1336522986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MAPLE LAWN BLVD STE 235",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592694",
            "telephone_number": "301-340-8339",
            "fax_number": "301-340-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19450 DEERFIELD AVE STE 460",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766840",
            "telephone_number": "571-707-8522",
            "fax_number": "571-707-8577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4660 Kenmore Ave",
            "address_2": "Suite 902",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223041313",
            "country_code": "US",
            "telephone_number": "703-370-4300",
            "fax_number": "540-301-5492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAITH",
        "first_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MD",
            "license": "AC001548",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "DC",
            "license": "RN1019571",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "VA",
            "license": "0024172666",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024172666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elise.faith.p1@direct.cwcare.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "19450 Deerfield Ave Ste 460",
            "city": "Leesburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201766840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.