NPIMap

Organization Active NPI

Christine F. Chalk

  • Early Intervention Provider Agency
  • Fairfax Station, VA
National Provider Identifier
1366810749
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
0119000854 Issued in VA
Legal business name
CHRISTINE F. CHALK
Practice address
7326 Wayfarer Dr
Fairfax Station, VA 22039-1907
Phone
(703) 425-0847
NPI assigned
Sep 2, 2015
Last updated
Sep 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Ms. Christine F. Chalk, OT
Title
Occupational Therapist
Phone
(703) 425-0847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 0119000854 VA Primary

Addresses

Primary practice location

7326 Wayfarer Dr
Fairfax Station, VA 22039-1907

Mailing address

7326 Wayfarer Dr
Fairfax Station, VA 22039-1907
Phone (703) 425-0847

National Provider Directory

National Provider Directory
Tax ID family
Better Speech Associates2 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.

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1366810749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7326 WAYFARER DR",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220391907",
            "telephone_number": "703-425-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7326 WAYFARER DR",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220391907",
            "telephone_number": "703-425-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE F. CHALK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "CHALK",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "703-425-0847",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "VA",
            "license": "0119000854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax Station, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.