Individual provider Active NPI

Mary Katherine Hawk

  • Massage Therapist
  • Alexandria, VA
National Provider Identifier
1437702297
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0019016158 Issued in VA
Practice address
1300 Lafayette Dr
Alexandria, VA 22308-1177
Phone
(703) 765-7275
NPI assigned
Jul 22, 2019
Last updated
Jul 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0019016158 VA Primary

Addresses

Primary practice location

1300 Lafayette Dr
Alexandria, VA 22308-1177

Mailing address

5340 Holmes Run Pkwy Unit 1100
Alexandria, VA 22304-2850
Phone (703) 220-3524

Other practice location 1

7540 Little River Tpke Ste H
Annandale, VA 22003-2839
Phone (703) 256-2600

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Alexandria Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
0019016158VAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Builders PastSince Feb 15, 2010 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1437702297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 HOLMES RUN PKWY UNIT 1100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042850",
            "telephone_number": "703-220-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 LAFAYETTE DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223081177",
            "telephone_number": "703-765-7275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7540 Little River Tpke Ste H",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "220032839",
            "country_code": "US",
            "telephone_number": "703-256-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWK",
        "first_name": "MARY KATHERINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019016158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Alexandria",
            "affiliation": "N",
            "endpointDescription": "Ft Hunt Massage and Spa",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SOAP Notes",
            "address_1": "1300 Lafayette Dr",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223081177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 22, 2019; 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.