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BEVERLY FAJARDO
NPI 1073458774
Family Medicine in Centreville, VA

Active since April 21, 2026
14801 LYNHODGE CT, CENTREVILLE, VA 20120(786) 230-7336 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beverly Fajardo NPPES

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

BEVERLY FAJARDO (NPI 1073458774) is an individual family medicine provider in Centreville, Virginia, licensed in Virginia (0024197060) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1073458774
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBEVERLY FAJARDO
Location Address14801 LYNHODGE CTCentreville, VA 20120-1863
Mailing Address14801 Lynhodge CtCentreville, VA 20120-1863
Phone(786) 230-7336
Sole ProprietorYes
Enumeration DateApril 21, 2026
NPPES CertifiedApril 21, 2026
✔ NPI 1073458774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0024197060
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
14801 LYNHODGE CT, Centreville, VA 20120
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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 Beverly Fajardo's NPI number?

The NPI number for Beverly Fajardo is 1073458774. It was assigned to this individual provider in the NPPES registry on April 21, 2026.

Where is Beverly Fajardo located?

Beverly Fajardo practices at 14801 Lynhodge Ct, Centreville, VA 20120. The listed phone number is (786) 230-7336.

What is Beverly Fajardo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Beverly Fajardo was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.