PINNACLE FAMILY PRACTICE LLC NPI 1255751228

NPI Information

NPI: 1255751228
Provider Name: PINNACLE FAMILY PRACTICE, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 49D2077713

Address:
13135 LEE JACKSON MEMORIAL HWY STE 202
FAIRFAX, VA
ZIP 22033
Phone: (703) 965-3168
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PINNACLE FAMILY PRACTICE, LLC is a primary care clinic center in Fairfax, VA. PINNACLE FAMILY PRACTICE, LLC NPI is 1255751228. The provider is registered as an organization entity type.

The provider's business location address is:

13135 LEE JACKSON MEMORIAL HWY STE 202
FAIRFAX, VA
ZIP 22033-907
Phone: (703) 965-3168
Fax: (703) 000-0000

The provider's authorized official is Vanessa Billstone Peyton .
The authorized official title is Physician Owner and has the following contact phone number (703) 965-3168.

The CLIA number assigned to this NPI record is 49D2077713 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2014 and was last updated on 4/17/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	0101221501	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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