NPIMap

Organization Active NPI

Kemet Health One LLC

  • Multi-Specialty Clinic/Center
  • Reston, VA
National Provider Identifier
1336909068
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
KEMET HEALTH ONE LLC
Practice address
1900 Reston Metro PLZ FL 6
Reston, VA 20190-5218
Phone
(703) 256-1600
NPI assigned
Mar 20, 2024
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Mr. Andrew Schneck, COO
Title
Coo
Phone
(703) 256-1600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

1900 Reston Metro PLZ FL 6
Reston, VA 20190-5218

Mailing address

169 Madison Ave # 11841
New York, NY 10016-5101
Phone (703) 256-1600

National Provider Directory

National Provider Directory
Tax ID family
Kemet Health One LLC14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

5413 Backlick Rd
#A
Springfield, VA 22151
Phone (412) 508-7524

Practitioners & affiliated clinicians

Practitioners 10

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": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1336909068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE # 11841",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "703-256-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 RESTON METRO PLZ FL 6",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905218",
            "telephone_number": "703-256-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMET HEALTH ONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "SCHNECK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "703-256-1600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

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

Verify at the official NPI Registry.