Active NPI
Alicia Gail Heron, M.D.
- Family Medicine Physician
- Alexandria, VA
National Provider Identifier
1417018607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101030856
- Practice address
- 321 S Patrick St
Alexandria, VA 22314-3534 - Phone
- (703) 549-2626
- Fax
- (703) 299-5080
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101030856 | VA | Primary |
Addresses
Primary practice location
321 S Patrick St
Alexandria, VA 22314-3534
Mailing address
321 S Patrick St
Heron Medical Center/Smart Lipo Center
Alexandria, VA 22314-3534
Phone (703) 549-2626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101030856 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stafford Urgent Care, Inc. | Past | Accepting new patients | |
| Stafford Primary Care Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Stafford, VA
- NPI 1871522177
-
- Urgent Care Clinic/Center
- Stafford, VA
- NPI 1477582773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434672000000",
"number": "1417018607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 S PATRICK ST",
"address_2": "HERON MEDICAL CENTER/SMART LIPO CENTER",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223143534",
"telephone_number": "703-549-2626",
"fax_number": "703-299-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 S PATRICK ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223143534",
"telephone_number": "703-549-2626",
"fax_number": "703-299-5080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERON",
"first_name": "ALICIA",
"middle_name": "GAIL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2015-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101030856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.