Calexar LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024164470 Issued in VA

Legal business name

CALEXAR LLC

Practice address

1509 Barksdale Dr NE
Leesburg, VA 20176-6606

Phone

(571) 271-3250

NPI assigned

Oct 13, 2017

Last updated

Nov 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Addrianne Coombs

Title

Director of Business Development

Phone

(571) 271-3250

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1699286930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 BARKSDALE DR NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766606",
            "telephone_number": "571-271-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 BARKSDALE DR NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766606",
            "telephone_number": "571-271-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALEXAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "COOMBS",
        "authorized_official_first_name": "ADDRIANNE",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "571-271-3250"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024164470",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0024164470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.