Winslow Primary Care Alliance, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101252657 Issued in VA

Legal business name

WINSLOW PRIMARY CARE ALLIANCE, LLC

Doing business as

Primary Care at Home Professionals

Practice address

4000 Legato Rd Ste 1100
Fairfax, VA 22033-2893

Phone

(703) 896-7711

Fax

(703) 896-7601

NPI assigned

Aug 6, 2018

Organization subpart

No

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

Authorized official

Name

Erica Monique Allen Winslow, MD, MPH

Title

Owner

Phone

(703) 673-8223

Specialties & licenses 1

Addresses

Other names 1

• Primary Care at Home Professionals Doing business as

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1508344060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 LEGATO RD STE 1100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332893",
            "telephone_number": "703-896-7711",
            "fax_number": "703-896-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 LEGATO RD STE 1100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332893",
            "telephone_number": "703-896-7711",
            "fax_number": "703-896-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSLOW PRIMARY CARE ALLIANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "ALLEN WINSLOW",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-673-8223",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101252657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care at Home Professionals",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Primary Care at Home Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sjor'Monique La'Quinta Winbush
• Susan Windley, OTA
• Arthur Ackerman Winer, M.D.
• Natasha Winkowitsch
• Teresa Banta Winkowski
• Jessenia Winstanley, LCP
• Patrice Marie Winter, PT
• Heather Wire, MS, OTR/L
• John W. Wires, PH.D.
• Karen N Wires, CCC,SLP

• Family Medicine Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.