Active NPI
Maya Ward
- Early Intervention Provider Agency
- Fairfax, VA
National Provider Identifier
1699199075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 222Q00000X
- Practice address
- 11240 Waples Mill Rd
Fairfax, VA 22030-6078 - Phone
- (703) 362-2663
- NPI assigned
- Feb 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 222Q00000X | VA | Primary |
Addresses
Primary practice location
11240 Waples Mill Rd
Fairfax, VA 22030-6078
Mailing address
5307 16TH St N
Arlington, VA 22205-2714
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222Q00000X | VA | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391644800000",
"number": "1699199075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5307 16TH ST N",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222052714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11240 WAPLES MILL RD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306078",
"telephone_number": "703-362-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "MAYA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-06",
"last_updated": "2014-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "VA",
"license": "222Q00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
- Warby Parker Inc.
- Ward Chiropractic and Rehabilitation
- Stacy P. Ward-Charlerie, PHARM D
- Jean Ann Ward, PH.D.
- Kevin Patrick Ward, D.C.
- Michelle R. Ward, LPC, LMFT
- Kristin Susan Hisa Warner, PT, DPT
- Washington Behavioral Health, PC
- Washington Hospital Center
- Washington Imaging Associates - Maryland LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.