Melissa Holbrook Walker, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110-005183 Issued in VA

Practice address

21785 Filigree Court, Suite 101
Reston Radiology Consultants
Ashburn, VA 20147

Phone

(703) 726-1201

Fax

(703) 858-7150

NPI assigned

Jan 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergency Medicine Associates P.a., P.C.

  • Emergency Medicine Physician
  • Falls Church, VA
  • NPI 1134117393

  DC

  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC

  Medicare reassignment NPD
• Emergency Medicine Associates, P.a.,P.C.

  • Internal Medicine Physician
  • Dulles, VA
  • NPI 1376917070
  Medicare reassignment
• Fair Oaks Imaging Center, PC

  • Diagnostic Radiology Physician
  • Fairfax, VA
  • NPI 1063437903

  DC

  Medicare reassignment
• Loudoun Imaging Center/Ashburn, LLC

  • Radiology Clinic/Center
  • Ashburn, VA
  • NPI 1568615094
  Medicare reassignment
• MRI of Reston, LP

  • Diagnostic Radiology Physician
  • Reston, VA
  • NPI 1164447025

  DC

  Medicare reassignment
• Pet of Reston, LP

  • Diagnostic Radiology Physician
  • Reston, VA
  • NPI 1922024041

  DC

  Medicare reassignment
• Reston Radiology Consultants, PC

  • Diagnostic Radiology Physician
  • Reston, VA
  • NPI 1235307034

  DC

  Medicare reassignment
• Emergency Medicine Associates P.a., P.C.

  • Internal Medicine Physician
  • Culpeper, VA
  • NPI 1881559102
  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1578920211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 POINT HOLLOW LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333012",
            "telephone_number": "703-798-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21785 FILIGREE COURT, SUITE 101",
            "address_2": "RESTON RADIOLOGY CONSULTANTS",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "20147",
            "telephone_number": "703-726-1201",
            "fax_number": "703-858-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MELISSA",
        "middle_name": "HOLBROOK",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-005183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tuan Anh Vu, DDS
• Jagdish Wadhwa, MD
• Susan Waldo, PT
• Walgreen Co
• Walgreen Co (Walgreens #11771)
• Dana Jill Wallace, MS, OTR/L
• Mable Wu Wallace
• Clayton Walsh
• Karyn B Walsh, LCSW
• Kristin Walsh, RDN

• Physician Assistant in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.