Active NPI
Nava Health Medical Group, LLC
Doing business as Nava Health and Vitality Center
- Family Medicine Physician
- Ashburn, VA
National Provider Identifier
1356077697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NAVA HEALTH MEDICAL GROUP, LLC
- Doing business as
- Nava Health and Vitality Center
- Practice address
- 43670 Greeway Corporate Drive
Suite 122
Ashburn, VA 20147-2104 - Phone
- (800) 762-6282
- NPI assigned
- Jul 28, 2022
- Last updated
- Dec 8, 2023
- Organization subpart
- Yes
- Parent organization
- NAVA HEALTH MEDICAL GROUP, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammy Muir
- Title
- Compliance Officer
- Phone
- (410) 910-5959
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
43670 Greeway Corporate Drive
Suite 122
Ashburn, VA 20147-2104
Mailing address
9755 Patuxent Woods Dr Ste 100
Columbia, MD 21046-2288
Phone (800) 762-6282
Other names 2
- Nava Health and Vitality Center
- Integrated Wellness, MD, LLC
National Provider Directory
National Provider Directory- Part of
- Nava Health Medical Group L
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Nava Health and Vitality Center
- Family Medicine Physician
- Columbia, MD
- NPI 1225617897
Member Of
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Obstetrics & Gynecology Physician
- Fairfax, VA
- NPI 1720448442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701993600000",
"number": "1356077697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9755 PATUXENT WOODS DR STE 100",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210462288",
"telephone_number": "800-762-6282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43670 GREEWAY CORPORATE DRIVE",
"address_2": "SUITE 122",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201472104",
"telephone_number": "800-762-6282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAVA HEALTH MEDICAL GROUP, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NAVA HEALTH MEDICAL GROUP, LLC",
"enumeration_date": "2022-07-28",
"last_updated": "2023-12-08",
"certification_date": "2023-12-08",
"status": "A",
"authorized_official_last_name": "MUIR",
"authorized_official_first_name": "TAMMY",
"authorized_official_title_or_position": "COMPLIANCE OFFICER",
"authorized_official_telephone_number": "410-910-5959"
},
"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
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nava Health and Vitality Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Integrated Wellness, MD, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.