REGIONAL HEALTH PROVIDERS LLC
NPI 1154898997
Family Medicine - Addiction Medicine in Fairfax, VA

Q: What is Regional Health Providers LLC's NPI number?

The NPI number for Regional Health Providers LLC is 1154898997. It was assigned to this organization in the NPPES registry on October 30, 2018.

Q: What is Regional Health Providers LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Active since October 30, 2018CLIA 49D2171677 · Waiver

3917 OLD LEE HWY STE 11D, FAIRFAX, VA 22030(703) 691-4000(703) 691-4010 Get Directions Write a Review

NPPES record last updated: October 31, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Regional Health Providers Llc NPPES

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

REGIONAL HEALTH PROVIDERS LLC (NPI 1154898997) is a healthcare organization registered as an addiction medicine in Fairfax, Virginia and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through September 5, 2027 and lists Evelyn Loch, Credentialing Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1154898997

Entity TypeOrganization

Primary Taxonomy207QA0401X

Legal Business NameREGIONAL HEALTH PROVIDERS LLC

Location Address3917 OLD LEE HWY STE 11DFairfax, VA 22030-2431

Mailing Address3917 Old Lee Hwy Ste 11dFairfax, VA 22030-2431 · (703) 691-4000 · Fax (703) 691-4010

Phone(703) 691-4000

Fax(703) 691-4010

Organization SubpartNo

Authorized OfficialEvelyn LochCredentialing Billing Manager · (703) 249-9079

Enumeration DateOctober 30, 2018

Last NPPES UpdateOctober 31, 2018

✔ NPI 1154898997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

3917 OLD LEE HWY STE 11D, Fairfax, VA 22030

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2171677

Regional Health Providers, LLC · Fairfax, VA

Active · expires Sep 5, 2027

CLIA Number49D2171677

Laboratory TypePhysician Office

Certificate Effective DateSeptember 6, 2025

Certificate Expiration DateSeptember 5, 2027

Laboratory DirectorDaniel J. Noonan

Laboratory Phone(703) 691-4000

Laboratory LocationRegional Health Providers, LLC3917 Old Lee Hwy, Suite 11D, Fairfax, VA 22030

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Regional Health Providers LLC's NPI number?

The NPI number for Regional Health Providers LLC is 1154898997. It was assigned to this organization in the NPPES registry on October 30, 2018.

Where is Regional Health Providers LLC located?

Regional Health Providers LLC is located at 3917 Old Lee Hwy Ste 11D, Fairfax, VA 22030. The listed phone number is (703) 691-4000.

What is Regional Health Providers LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Does Regional Health Providers LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2171677) is associated with this NPI, valid through September 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Regional Health Providers LLC was last updated on October 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.