Organization Active NPI

Safety Net Data Advisors' Incorporation

  • Case Management Agency
  • Fairfax, VA
National Provider Identifier
1649078833
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SAFETY NET DATA ADVISORS' INCORPORATION
Practice address
4486 Oakdale Crescent CT Apt 4111
Fairfax, VA 22030-6753
Phone
(703) 559-5487
NPI assigned
Mar 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Jeremy Williams Sr.
Title
Ceo
Phone
(202) 754-5959

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Point of Service 305S00000X

Addresses

Primary practice location

4486 Oakdale Crescent CT Apt 4111
Fairfax, VA 22030-6753

Mailing address

4486 Oakdale Crescent CT Apt 4111
Fairfax, VA 22030-6753
Phone (703) 559-5487

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1649078833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4486 OAKDALE CRESCENT CT APT 4111",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306753",
            "telephone_number": "703-559-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4486 OAKDALE CRESCENT CT APT 4111",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306753",
            "telephone_number": "703-559-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFETY NET DATA ADVISORS' INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-754-5959",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.