Individual provider Active NPI

Heather Renee Callahan, PA-C

  • Medical Physician Assistant
  • Warrenton, VA
National Provider Identifier
1770039927
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110005467 Issued in VA
Practice address
225 Oak Springs Dr Ste 102
Warrenton, VA 20186-2186
Phone
(540) 935-4449
Fax
(540) 347-4444
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110005467 VA Primary

Addresses

Primary practice location

225 Oak Springs Dr Ste 102
Warrenton, VA 20186-2186

Mailing address

225 Oak Springs Dr Ste 102
Warrenton, VA 20186-2186
Phone (540) 935-4449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110005467VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Deep Concierge Medicine LLC CurrentSince Aug 10, 2025 Accepting new patients

Locations

225 Oak Springs Dr
Ste 102
Warrenton, VA 20186
Phone (540) 347-0274

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1770039927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 OAK SPRINGS DR STE 102",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862186",
            "telephone_number": "540-935-4449",
            "fax_number": "540-347-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 OAK SPRINGS DR STE 102",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862186",
            "telephone_number": "540-935-4449",
            "fax_number": "540-347-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "HEATHER",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110005467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

Verify at the official NPI Registry.