Active NPI
Stephen Scarlata
- Community Health Clinic/Center
- Annandale, VA
National Provider Identifier
1518366707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- License
- 2306601284
- Practice address
- 4446 Briarwood CT S
Annandale, VA 22003-4836 - Phone
- (703) 203-8439
- NPI assigned
- Aug 14, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | 2306601284 | VA | Primary |
Addresses
Primary practice location
4446 Briarwood CT S
Annandale, VA 22003-4836
Mailing address
4446 Briarwood CT S
Annandale, VA 22003-4836
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2306601284 | VA | MD | Community Health Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1518366707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4446 BRIARWOOD CT S",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220034836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4446 BRIARWOOD CT S",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220034836",
"telephone_number": "703-203-8439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCARLATA",
"first_name": "STEPHEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-14",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "VA",
"license": "2306601284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annandale, VA
- Jaclyn Michelle Sargent, LPC, ATR-BC, LCPAT
- Mihika Sanjeev Sathe, MD
- Saving Throw Therapeutics LLC
- Kimberly Sawyer, LCSW
- Megan Lowers Scanlan, WHNP
- Christine Michelle Schaefer, MA, CCC-SLP
- Kyndall Ashley Scheffey
- Andrew Anthony Schiavone Jr., M.D.
- Deborah Lee Schiavone, PHD, APRN, BC
- Sue C Schiller, R.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.