Sheila Hautbois, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110-006090 Issued in VA

Practice address

3580 Joseph Siewick Dr Ste 306
Fairfax, VA 22033-1764

Phone

(703) 391-4520

Fax

(703) 391-4521

NPI assigned

Feb 13, 2018

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 VA, DC2 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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.36 of 100Reported as group

Quality

73.03

Promoting interoperability

100

Improvement activities

40

Cost

71.49

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shautbois975264@soc.inova.org

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.

• Inova Health Care Services

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1952320061

  DC

  Medicare reassignment Care Compare group NPD
• Morris Cardiovascular and Risk Reduction Center PC

  • Cardiovascular Disease Physician
  • Chester, VA
  • NPI 1467734863
  Medicare reassignment
• Inova Health Care Services

  • Urgent Care Clinic/Center
  • Vienna, VA
  • NPI 1275886418
  NPD
• Inova Health Care Services

  • Medical Technologist
  • Sterling, VA
  • NPI 1699655589
  NPD

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1609376086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 JOSEPH SIEWICK DR STE 306",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331764",
            "telephone_number": "703-391-4520",
            "fax_number": "703-391-4521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 Johnson Creek Dr.",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "VA",
            "postal_code": "23836",
            "country_code": "US",
            "telephone_number": "804-530-1044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19500 Sandridge Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201763689",
            "country_code": "US",
            "telephone_number": "703-840-7300",
            "fax_number": "703-840-7301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-4005",
            "fax_number": "703-776-7068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 N Glebe Rd Ste 710",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222015766",
            "country_code": "US",
            "telephone_number": "571-302-3903",
            "fax_number": "571-302-3904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 Martha Custis Dr Ste C1",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223022040",
            "country_code": "US",
            "telephone_number": "703-671-2700",
            "fax_number": "703-671-7007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8081 Innovation Park Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314867",
            "country_code": "US",
            "telephone_number": "571-472-7000",
            "fax_number": "571-472-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAUTBOIS",
        "first_name": "SHEILA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-006090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth O'Donnell Hatcher, FNP
• Mekdes Hatfield, FNP
• Michael Albert Hattwick, MD
• Alanah Lavern Haugabrook
• Katelyn Currin Haughinberry, NP
• Haven J. Barlow, Jr., MD, PC
• Kim Havenner, PSY.D.
• Carol A. Hawker, L.P.C.
• Brittani Hawkins, LCSW-C
• Jaquese Simone Hawkins

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.
• 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.