Tyson Urgent Care, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

0101262714 Issued in VA

Legal business name

TYSON URGENT CARE, LLC

Practice address

8206 Leesburg Pike
Suite 301
Vienna, VA 22182

Phone

(443) 739-2315

NPI assigned

Mar 21, 2013

Organization subpart

No

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

Authorized official

Name

Rachelle Shelia Bailey-El

Title

Director

Phone

(410) 616-9027

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1417299090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8206 LEESBURG PIKE",
            "address_2": "SUITE 301",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8206 LEESBURG PIKE",
            "address_2": "SUITE 301",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "22182",
            "telephone_number": "443-739-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYSON URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "BAILEY-EL",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_middle_name": "SHELIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-616-9027"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "VA",
            "license": "0101262714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Vienna, VA
• Providers in Vienna, VA by specialty
• Urgent Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.