Active NPI
Mallory Elizabeth Armstrong, PA-C
- Physician Assistant
- Fairfax, VA
National Provider Identifier
1679990451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0004993
- Practice address
- 8505 Arlington Blvd Ste 400
Fairfax, VA 22031-4636 - Phone
- (703) 698-4444
- Fax
- (703) 851-1048
- NPI assigned
- Mar 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110004536 | VA | |
| Physician Assistant | 363A00000X | PA.0004993 | CO | Primary |
Addresses
Primary practice location
8505 Arlington Blvd Ste 400
Fairfax, VA 22031-4636
Mailing address
1819 Denver West Drive
Suite 101
Lakewood, CO 80401
Phone (303) 223-4448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0004993 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfax Radiological Consultants | Current | Accepting new patients |
Locations
8505 Arlington Blvd
Ste 400
Fairfax, VA 22031
Phone (571) 226-5600
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
Organizations & group practices 7
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.
-
- Radiology Clinic/Center
- Ashburn, VA
- NPI 1568615094
-
- Diagnostic Radiology Physician
- Lakewood, CO
- NPI 1255306726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1679990451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 DENVER WEST DRIVE",
"address_2": "SUITE 101",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "80401",
"telephone_number": "303-223-4448",
"fax_number": "703-851-1048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8505 ARLINGTON BLVD STE 400",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314636",
"telephone_number": "703-698-4444",
"fax_number": "703-851-1048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARMSTRONG",
"first_name": "MALLORY",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-18",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110004536",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0004993",
"primary": true
}
],
"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 Nov 17, 2023; 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.