NPIMap

Organization Active NPI

Autism Outreach, Inc.

  • Exclusive Provider Organization
  • Reston, VA
National Provider Identifier
1407053549
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
NA
Legal business name
AUTISM OUTREACH, INC.
Practice address
11337 Sunset Hills Rd
Reston, VA 20190-5205
Phone
(703) 689-0019
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Michelle Hurst, M.D.
Title
ABA Program Consultant
Phone
(703) 689-0019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X NA Primary

Addresses

Primary practice location

11337 Sunset Hills Rd
Reston, VA 20190-5205

Mailing address

701 Emerald Hill Dr NE
Leesburg, VA 20176-3633
Phone (571) 236-1110

National Provider Directory

National Provider Directory
Tax ID family
Autism Outreach Inc2 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.

Locations

11337 Sunset Hills Rd
Reston, VA 20190
Phone (703) 689-0019

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407053549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 EMERALD HILL DR NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763633",
            "telephone_number": "571-236-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11337 SUNSET HILLS RD",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905205",
            "telephone_number": "703-689-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM OUTREACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ABA PROGRAM CONSULTANT",
        "authorized_official_telephone_number": "703-689-0019",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": "NA",
            "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 Aug 22, 2020; 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.