NPIMap

Organization Active NPI

Inova Fairfax Hospital

  • General Acute Care Hospital
  • Falls Church, VA
National Provider Identifier
1770626038
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0017138748 Issued in VA
Legal business name
INOVA FAIRFAX HOSPITAL
Practice address
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone
(703) 776-4132
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Authorized official

Name
Mrs. Kelly Ann Solomon, NP
Title
Thoracic Nurse Practitioner
Phone
(703) 776-4132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0017138748 VA Primary

Addresses

Primary practice location

3300 Gallows Rd
Falls Church, VA 22042-3307

Mailing address

12609 Lamp Post LN
Potomac, MD 20854-2314
Phone (301) 309-3781

Other identifiers 1

IdentifierTypeStateIssuer
0017138748OtherVANURSE PRACTITIONER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1770626038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12609 LAMP POST LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542314",
            "telephone_number": "301-309-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423307",
            "telephone_number": "703-776-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INOVA FAIRFAX HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "THORACIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "703-776-4132",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "VA",
            "license": "0017138748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER NUMBER",
            "identifier": "0017138748",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.