Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIRANDA LYNN DE ROOS-LOUDEN PA-C, MPA, BIS
NPI 1023987831
Physician Assistant in Fairfax, VA

Active since October 30, 2025
8613 ROUTE 29 STE 101, FAIRFAX, VA 22031(571) 350-8400(703) 208-3108 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miranda Lynn De Roos-louden Pa-c, Mpa, Bis NPPES

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

MIRANDA LYNN DE ROOS-LOUDEN PA-C, MPA, BIS (NPI 1023987831) is an individual physician assistant in Fairfax, Virginia, licensed in Virginia (011001252) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1023987831
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMIRANDA LYNN DE ROOS-LOUDENCredential: PA-C, MPA, BIS
Location Address8613 ROUTE 29 STE 101Fairfax, VA 22031-2171
Mailing Address825 Fairfax AveNorfolk, VA 23507-1914 · (619) 865-0330
Fax(703) 208-3108
Sole ProprietorNo
Enumeration DateOctober 30, 2025
Last NPPES UpdateJuly 24, 2026
NPPES CertifiedJuly 24, 2026
NPI 1023987831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in VA · 011001252
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8613 ROUTE 29 STE 101, Fairfax, VA 22031

Other Names 1

Other Name (5)Miranda De Roos-louden Pa-c, Mpa, Bis

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Medical Oncology)
8613 ROUTE 29 STE 101
FAIRFAX, VA 22031
Nurse Practitioner
8613 ROUTE 29 STE 101
FAIRFAX, VA 22031
Internal Medicine (Hematology & Oncology)
8613 ROUTE 29 STE 101
FAIRFAX, VA 22031

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 Miranda De Roos-louden's NPI number?

The NPI number for Miranda De Roos-louden is 1023987831. It was assigned to this individual provider in the NPPES registry on October 30, 2025. The provider is also known as Miranda De Roos-Louden Pa-C, Mpa, Bis.

Where is Miranda De Roos-louden located?

Miranda De Roos-louden practices at 8613 Route 29 Ste 101, Fairfax, VA 22031. The listed phone number is (571) 350-8400.

What is Miranda De Roos-louden's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Miranda De Roos-louden was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.