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CALVIN LAYNE III PMHNP-BC
NPI 1003681461
Nurse Practitioner - Psychiatric/Mental Health in Fairfax, VA

Active since November 16, 2023
10304 EATON PL STE 100, FAIRFAX, VA 22030(571) 463-8620(571) 999-7549 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2024, Nov 16, 2023 (2 updates tracked since 2023).

About Calvin Layne Iii Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALVIN LAYNE III PMHNP-BC (NPI 1003681461) is an individual psychiatric/mental health provider in Fairfax, Virginia, licensed in Virginia (0024188311) and active in the NPI registry since November 2023. He maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1003681461
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameCALVIN LAYNE IIICredential: PMHNP-BC
Location Address10304 EATON PL STE 100Fairfax, VA 22030-2221
Mailing Address10304 Eaton Pl Ste 100Fairfax, VA 22030-2221 · (571) 463-8620 · Fax (571) 999-7549
Phone(571) 463-8620
Fax(571) 999-7549
Sole ProprietorYes
Enumeration DateNovember 16, 2023
Last NPPES UpdateFebruary 5, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
✔ NPI 1003681461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024188311
10304 EATON PL STE 100, Fairfax, VA 22030
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Secondary Practice Location 1

Location 11629 K St NW Ste 3000Washington, DC 20006-1602 · Phone (571) 463-8620 · Fax (571) 999-7549

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VALERIE KAY KEEHN BCBA
Behavior Analyst
10304 EATON PL STE 100
FAIRFAX, VA 22030
Fairfax City (855) 295-3276
KODA BRINKER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
10304 EATON PL STE 100
FAIRFAX, VA 22030
Fairfax City (571) 463-8620
LIFESPEED MEDICAL, LLC
Durable Medical Equipment & Medical Supplies
10304 EATON PL STE 100
FAIRFAX, VA 22030
Fairfax City (352) 232-3540
LIBAN ABDALLA
Behavior Technician
10304 EATON PL STE 100
FAIRFAX, VA 22030
Fairfax City (813) 761-0264
ANIKA LAMBA
Behavior Technician
10304 EATON PL STE 100
FAIRFAX, VA 22030
Fairfax City (813) 461-0264
FOR THE GOOD THERAPEUTIC SERVICES INC.
Counselor (Professional)
10304 EATON PL STE 100
FAIRFAX, VA 22030
Fairfax City (571) 412-1791
ANGIE IRAHETA GRUESSING
Behavior Technician
10304 EATON PL STE 100
FAIRFAX, VA 22030
Fairfax City (813) 761-0264
SOUKAINA SOUSSI
Behavior Technician
10304 EATON PL STE 100
FAIRFAX, VA 22030
Fairfax City (818) 345-2345

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Calvin Layne's NPI number?

The NPI number for Calvin Layne is 1003681461. It was assigned to this individual provider in the NPPES registry on November 16, 2023.

Where is Calvin Layne located?

Calvin Layne practices at 10304 Eaton Pl Ste 100, Fairfax, VA 22030. The listed phone number is (571) 463-8620.

What is Calvin Layne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Calvin Layne was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.