Individual provider Active NPI

Joann W Andriko, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Chantilly, VA
National Provider Identifier
1548634306
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
0101238599 Issued in VA
Practice address
14225 Newbrook Drive
Quest Diagnostics
Chantilly, VA 20151-0841
Phone
(703) 802-6900
NPI assigned
Nov 17, 2015
Last updated
Nov 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 0101238599 VA Primary

Addresses

Primary practice location

14225 Newbrook Drive
Quest Diagnostics
Chantilly, VA 20151-0841

Mailing address

900 N Stafford St
2425
Arlington, VA 22203-1842
Phone (301) 213-1199

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101238599VAMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1548634306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N STAFFORD ST",
            "address_2": "2425",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031842",
            "telephone_number": "301-213-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14225 NEWBROOK DRIVE",
            "address_2": "QUEST DIAGNOSTICS",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201510841",
            "telephone_number": "703-802-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRIKO",
        "first_name": "JOANN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "0101238599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.