NPIMap

Organization Active NPI

Virginia Integrative Practice

  • Multi-Specialty Clinic/Center
  • Burke, VA
National Provider Identifier
1376062836
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
VIRGINIA INTEGRATIVE PRACTICE
Practice address
8996 Burke Lake Rd Ste 303
Burke, VA 22015-1607
Phone
(888) 299-4570
Fax
(888) 398-0897
NPI assigned
Sep 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Vajra Jai
Title
Executive Director
Phone
(888) 299-4570

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 0101242686 VA
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 0101244564 VA
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

8996 Burke Lake Rd Ste 303
Burke, VA 22015-1607

Mailing address

8996 Burke Lake Rd Ste 303
Burke, VA 22015-1607
Phone (888) 299-4570

Other names 1

  • VIVA Center Former legal business name

National Provider Directory

National Provider Directory

Locations

8996 Burke Lake Rd
Ste 303
Burke, VA 22015
Phone (888) 299-4570

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376062836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8996 BURKE LAKE RD STE 303",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151607",
            "telephone_number": "888-299-4570",
            "fax_number": "888-398-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8996 BURKE LAKE RD STE 303",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151607",
            "telephone_number": "888-299-4570",
            "fax_number": "888-398-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA INTEGRATIVE PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JAI",
        "authorized_official_first_name": "VAJRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "888-299-4570"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101242686",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101244564",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIVA Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.