Active NPI
Danielle Ali Layton, PA-C, MPAS
- Medical Physician Assistant
- Fairfax, VA
National Provider Identifier
1902873565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110003284
- Practice address
- 3028 Javier Rd
Suite 300
Fairfax, VA 22031-4622 - Phone
- (703) 698-8960
- Fax
- (703) 641-8427
- NPI assigned
- Mar 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 103579 | NC | |
| Medical Physician Assistant | 363AM0700X | 1185 | TN | |
| Medical Physician Assistant | 363AM0700X | 0110003284 | VA | Primary |
Addresses
Primary practice location
3028 Javier Rd
Suite 300
Fairfax, VA 22031-4622
Mailing address
3700 Joseph Siewick Dr
Suite 308
Fairfax, VA 22033-1744
Phone (703) 698-8960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103579 | NC | MD | Medical Physician Assistant |
| 1185 | TN | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Dominion Anesthesia LLC | Past | Accepting new patients |
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.
-
- Anesthesiology Physician
- Charlottesville, VA
- NPI 1902248677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436918400000",
"number": "1902873565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 JOSEPH SIEWICK DR",
"address_2": "SUITE 308",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331744",
"telephone_number": "703-698-8960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3028 JAVIER RD",
"address_2": "SUITE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314622",
"telephone_number": "703-698-8960",
"fax_number": "703-641-8427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAYTON",
"first_name": "DANIELLE",
"middle_name": "ALI",
"name_prefix": "Mrs.",
"credential": "PA-C, MPAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-02",
"last_updated": "2015-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "103579",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "1185",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110003284",
"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 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.