VA Health and Wellness, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VA HEALTH AND WELLNESS, LLC

Practice address

280 Sunset Park Dr Ste 12
Herndon, VA 20170-5219

Phone

(704) 995-1168

NPI assigned

Oct 13, 2021

Last updated

Oct 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria Stewart

Title

Coo

Phone

(704) 995-1168

Specialties & licenses 1

Addresses

Other names 1

• TD Tele Doc Weight Loss Other name

Locations

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1871255133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 ALYDAR CT",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736672",
            "telephone_number": "704-995-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 SUNSET PARK DR STE 12",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705219",
            "telephone_number": "704-995-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "704-995-1168"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TD Tele Doc Weight Loss",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Richard Uribe, MD, MPH
• Philip J Vahab, DDS, MS
• Valery Valenzuela
• Abigail Vanderweyden
• Vajeh Vatankhahi, DC
• Wendy Velazco-Weiss

• Internal Medicine Physician in Herndon, VA
• Providers in Herndon, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.