Organization Active NPI

Rackenfuse Health, LLC

  • Primary Care Clinic/Center
  • Falls Church, VA
National Provider Identifier
1497943476
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0101240825 Issued in VA
Legal business name
RACKENFUSE HEALTH, LLC
Practice address
6305 Castle PL
Suite 1D
Falls Church, VA 22044-1905
Phone
(703) 533-5555
Fax
(703) 533-5596
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Michelle Laniece Fuselier, M.D.NPI 1891872016
Title
Owner
Phone
(703) 533-5555

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
Primary Care Clinic/Center 261QP2300X 0101240825 VA Primary

Addresses

Primary practice location

6305 Castle PL
Suite 1D
Falls Church, VA 22044-1905

Mailing address

6305 Castle PL
Suite 1D
Falls Church, VA 22044-1905
Phone (703) 533-5555

Other names 1

  • Michelle L. Fuselier, MD Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1067411Michelle L Fuselier, MD6305 Castle Place - Suite 1D, Falls Church, VA 22044Certificate of waiverApr 17, 2027

National Provider Directory

National Provider Directory

Locations

6305 Castle Pl
Ste 1D
Falls Church, VA 22044
Phone (703) 533-5555

Practitioners & affiliated clinicians

Practitioners 2

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": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1497943476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 CASTLE PL",
            "address_2": "SUITE 1D",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220441905",
            "telephone_number": "703-533-5555",
            "fax_number": "703-533-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 CASTLE PL",
            "address_2": "SUITE 1D",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220441905",
            "telephone_number": "703-533-5555",
            "fax_number": "703-533-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACKENFUSE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "FUSELIER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LANIECE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-533-5555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101240825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michelle L. Fuselier, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.