Individual provider Active NPI

Carter Monique Orliac Owen, MD

  • Reproductive Endocrinology Physician
  • Vienna, VA
National Provider Identifier
1780902866
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
0101265302 Issued in VA
Practice address
8010 Towers Crescent Dr FL 5
Vienna, VA 22182-2710
Phone
(571) 789-2100
NPI assigned
May 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0077577 MD
Reproductive Endocrinology Physician 207VE0102X 0101265302 VA Primary

Addresses

Primary practice location

8010 Towers Crescent Dr FL 5
Vienna, VA 22182-2710

Mailing address

8010 Towers Crescent Dr FL 5
Vienna, VA 22182-2710
Phone (571) 789-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141022001773 MD Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 0345461067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101265302VAMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CCRM Virginia LLC Reproductive Endocrinology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: carter.owen.1@17469.direct.athenahealth.com

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": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1780902866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 TOWERS CRESCENT DR FL 5",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822710",
            "telephone_number": "571-789-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 TOWERS CRESCENT DR FL 5",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822710",
            "telephone_number": "571-789-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "CARTER MONIQUE",
        "middle_name": "ORLIAC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0077577",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "VA",
            "license": "0101265302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.