NPIMap

Organization Active NPI

Cavery Wellness of Fairfax, LLC

  • Internal Medicine Physician
  • Nokesville, VA
National Provider Identifier
1356857098
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1043570294 Issued in VA
Legal business name
CAVERY WELLNESS OF FAIRFAX, LLC
Practice address
14610 Sulky Run CT
Nokesville, VA 20181-2953
Phone
(571) 408-9139
NPI assigned
Dec 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Authorized official

Name
Christy Harshberger, FNP-BC
Title
Owner
Phone
(571) 408-9139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 1043570294 VA Primary

Addresses

Primary practice location

14610 Sulky Run CT
Nokesville, VA 20181-2953

Mailing address

14610 Sulky Run CT
Nokesville, VA 20181-2953
Phone (571) 408-9139

Other names 1

  • MEDI Weightloss of Fairfax Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513555200000",
    "number": "1356857098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14610 SULKY RUN CT",
            "city": "NOKESVILLE",
            "state": "VA",
            "postal_code": "201812953",
            "telephone_number": "571-408-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14610 SULKY RUN CT",
            "city": "NOKESVILLE",
            "state": "VA",
            "postal_code": "201812953",
            "telephone_number": "571-408-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVERY WELLNESS OF FAIRFAX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A",
        "authorized_official_last_name": "HARSHBERGER",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-408-9139",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "1043570294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDI Weightloss of Fairfax",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nokesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; 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.