Organization Active NPI

Authentic Health LLC

  • Clinic/Center
  • Warrenton, VA
National Provider Identifier
1730908682
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AUTHENTIC HEALTH LLC
Practice address
173 Keith St Ste 3
Warrenton, VA 20186-3257
Phone
(888) 271-0505
NPI assigned
Oct 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Ms. Christie Roe Pride, M.ED., OTR/LNPI 1720392186
Title
Member Manager
Phone
(540) 422-3016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

173 Keith St Ste 3
Warrenton, VA 20186-3257

Mailing address

173 Keith St Ste 3
Warrenton, VA 20186-3257
Phone (888) 271-0505

Other practice location 1

183 Keith St
Warrenton, VA 20186-3231
Phone (540) 422-3016

National Provider Directory

National Provider Directory

Locations

173 Keith St
Ste 3
Warrenton, VA 20186
Phone (888) 271-0505

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1730908682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 KEITH ST STE 3",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863257",
            "telephone_number": "888-271-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 KEITH ST STE 3",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863257",
            "telephone_number": "888-271-0505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "183 Keith St",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "VA",
            "postal_code": "201863231",
            "country_code": "US",
            "telephone_number": "540-422-3016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AUTHENTIC HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "PRIDE",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_middle_name": "ROE",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "540-422-3016",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED., OTR/L"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.