Individual provider Active NPI

Auryana J Malek

  • Psychiatric/Mental Health Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1962057695
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024178007 Issued in VA
Practice address
621 Jefferson Davis Hwy Ste 201
Fredericksburg, VA 22401-4567
Phone
(540) 372-2028
NPI assigned
Aug 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024178007 VA Primary

Addresses

Primary practice location

621 Jefferson Davis Hwy Ste 201
Fredericksburg, VA 22401-4567

Mailing address

5411 Willow Forest CT
Clifton, VA 20124-0933
Phone (571) 232-8802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191205002693 VA Practitioner - Nurse Practitioner 4587097522 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians CurrentSince Nov 18, 2019 Accepting new patients
Pathology Associates of Fredericksburg PTR Current Accepting new patients
Mary Washington Hospital Inc. CurrentSince Oct 21, 2019 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Nov 18, 2019 Accepting new patients
Mary Washington Hospital, Inc. Current Accepting new patients
Carma Health Virginia LLC Past Accepting new patients
Carma Health, PLLC Past Accepting new patients
Fredericksburg OBGYN Center Inc PastSince Aug 11, 2019 Accepting new patients

Locations

1200 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 372-3900

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

Organizations & group practices 8

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": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1962057695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 WILLOW FOREST CT",
            "city": "CLIFTON",
            "state": "VA",
            "postal_code": "201240933",
            "telephone_number": "571-232-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 JEFFERSON DAVIS HWY STE 201",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014567",
            "telephone_number": "540-372-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEK",
        "first_name": "AURYANA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024178007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.