Organization Active NPI

Afm Family & Internal Medicine PC

  • Family Medicine Physician
  • Fairfax, VA
National Provider Identifier
1881542371
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AFM FAMILY & INTERNAL MEDICINE PC
Practice address
3620 Joseph Siewick Dr Ste 203
Fairfax, VA 22033-1756
Phone
(703) 941-0267
NPI assigned
Mar 19, 2026
Last updated
Jul 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Darcell Boutelle
Title
Owner
Phone
(310) 994-1553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3620 Joseph Siewick Dr Ste 203
Fairfax, VA 22033-1756

Mailing address

3620 Joseph Siewick Dr Ste 203
Fairfax, VA 22033-1756
Phone (703) 941-0267

National Provider Directory

National Provider Directory

Locations

3620 Joseph Siewick Dr
Ste 203
Fairfax, VA 22033
Phone (703) 941-0267

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1881542371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 JOSEPH SIEWICK DR STE 203",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331756",
            "telephone_number": "703-941-0267",
            "fax_number": "703-941-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 JOSEPH SIEWICK DR STE 203",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331756",
            "telephone_number": "703-941-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFM FAMILY & INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "BOUTELLE",
        "authorized_official_first_name": "DARCELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-994-1553"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.