NPIMap

Organization Active NPI

Manassas Midwifery and Women'S Health Center

  • Women's Health Nurse Practitioner
  • Manassas, VA
National Provider Identifier
1770817504
Registry record updated Sep 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0024167746 Issued in VA
Legal business name
MANASSAS MIDWIFERY AND WOMEN'S HEALTH CENTER
Practice address
8424 Dorsey Cir
Suite #101
Manassas, VA 20110-8301
Phone
(703) 330-3285
Fax
(703) 330-3286
NPI assigned
Sep 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2009

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

Authorized official

Name
Sheila Lynn Mathis, RN, CNMNPI 1760620892
Title
Owner/Nurse Practioner
Phone
(703) 330-3285

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
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X 0024167746 VA Primary

Addresses

Primary practice location

8424 Dorsey Cir
Suite #101
Manassas, VA 20110-8301

Mailing address

8424 Dorsey Cir
Suite #101
Manassas, VA 20110-8301
Phone (703) 330-3285

Other identifiers 2

IdentifierTypeStateIssuer
1760620892MedicaidVA
371004OtherVAANTHEM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1253923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253923200000",
    "number": "1770817504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 DORSEY CIR",
            "address_2": "SUITE #101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108301",
            "telephone_number": "703-330-3285",
            "fax_number": "703-330-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 DORSEY CIR",
            "address_2": "SUITE #101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108301",
            "telephone_number": "703-330-3285",
            "fax_number": "703-330-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANASSAS MIDWIFERY AND WOMEN'S HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-26",
        "last_updated": "2009-09-26",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTIONER",
        "authorized_official_telephone_number": "703-330-3285",
        "authorized_official_credential": "RN, CNM"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024167746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760620892",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "371004",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2009; 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.