Axiom Health Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0024167755 Issued in VA

Legal business name

AXIOM HEALTH CORPORATION

Practice address

9707 Signal CT
Manassas, VA 20111-2505

Phone

(703) 459-4773

NPI assigned

Apr 3, 2013

Last updated

Mar 7, 2023By 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

Ms. Marina Susana Abad, N.P.NPI 1912174855

Title

Ceo

Phone

(703) 459-4773

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marina S Abad, NP

  • Family Nurse Practitioner
  • Manassas, VA
  • NPI 1912174855
  NPD (past) Authorized official

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1700129194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 SIGNAL CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201112505",
            "telephone_number": "703-459-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 SIGNAL CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201112505",
            "telephone_number": "703-459-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIOM HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ABAD",
        "authorized_official_first_name": "MARINA",
        "authorized_official_middle_name": "SUSANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-459-4773",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0024167755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING, NURSE PRACTITIONER LICENSE",
            "identifier": "0024167755",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912174855",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fawn Avery, C.N.S.
• Sharon Aviles
• Stephanie Golding Avner, DPM
• Comfort Avovabey
• Cynthia Awadzi, FNP
• Priscilla Ayala
• Stephanie Aybar Bueno
• Ayesha Sultan DDS PC
• Afua Ayim
• Megan Aylor, PA-C

• Primary Care Clinic/Center in Manassas, VA
• Providers in Manassas, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.