Organization Active NPI

Manestream Consulting LLC

  • Prosthetic/Orthotic Supplier
  • Fairfax, VA
National Provider Identifier
1497511794
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MANESTREAM CONSULTING LLC
Practice address
10560 Main St Ste 215
Fairfax, VA 22030-7176
Phone
(703) 352-4247
NPI assigned
Feb 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Mr. Stephen Christopher Foster, CRANIAL PROTHESIS SPNPI 1679342844
Title
Managing Partner
Phone
(202) 389-2087

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

10560 Main St Ste 215
Fairfax, VA 22030-7176

Mailing address

10560 Main St Ste 215
Fairfax, VA 22030-7176
Phone (703) 352-4247

Other names 1

  • Bravadas Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1497511794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10560 MAIN ST STE 215",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307176",
            "telephone_number": "703-352-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 MAIN ST STE 215",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307176",
            "telephone_number": "703-352-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANESTREAM CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "202-389-2087",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRANIAL PROTHESIS SP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bravadas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.