Organization Active NPI

Springfield Supp Ctr Inc

  • Durable Medical Equipment & Medical Supplies
  • Springfield, VA
National Provider Identifier
1467623504
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SPRINGFIELD SUPP CTR INC
Practice address
6320 Augusta Dr Ste 705
Springfield, VA 22150-2503
Phone
(703) 451-7800
Fax
(703) 451-4711
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Ms. Noemi Lopes Albisu
Title
Owner
Phone
(703) 451-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X VA Primary

Addresses

Primary practice location

6320 Augusta Dr Ste 705
Springfield, VA 22150-2503

Mailing address

6320 Augusta Dr Ste 405
Springfield, VA 22150-2529
Phone (703) 451-7800

National Provider Directory

National Provider Directory

Locations

6320 Augusta Dr
Ste 705
Springfield, VA 22150
Phone (703) 451-7800

6320 Augusta Dr
Ste 405
Springfield, VA 22150
Phone (703) 451-7800

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1467623504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 AUGUSTA DR STE 405",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502529",
            "telephone_number": "703-451-7800",
            "fax_number": "703-451-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 AUGUSTA DR STE 705",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502503",
            "telephone_number": "703-451-7800",
            "fax_number": "703-451-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD SUPP CTR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "ALBISU",
        "authorized_official_first_name": "NOEMI",
        "authorized_official_middle_name": "LOPES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-451-7800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.