NINAS HEALTH CARE FAIRFAX INCORPORATED
NPI 1891340055
Nurse Practitioner - Psychiatric/Mental Health in Fairfax, VA

Q: What is Ninas Health Care Fairfax Incorporated's specialty?

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

Active since August 05, 2019

3022 JAVIER RD STE 105E, FAIRFAX, VA 22031(614) 314-5416 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2025, Aug 5, 2019 (2 updates tracked since 2019).

On this page

About Ninas Health Care Fairfax Incorporated NPPES

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

NINAS HEALTH CARE FAIRFAX INCORPORATED (NPI 1891340055) is a healthcare organization registered as a psychiatric/mental health in Fairfax, Virginia and active in the NPI registry since August 2019. The organization lists Grace Fongod, President, as its authorized official.

NPPES Registry Identity

NPI1891340055

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameNINAS HEALTH CARE FAIRFAX INCORPORATED

Location Address3022 JAVIER RD STE 105EFairfax, VA 22031-4646

Mailing Address3022 Javier Rd Ste 105eFairfax, VA 22031-4646 · (614) 314-5416

Phone(614) 314-5416

Organization SubpartNo

Authorized OfficialGrace FongodPresident · (614) 314-5416

Enumeration DateAugust 5, 2019

Last NPPES UpdateNovember 4, 20252 updates tracked since enumeration

NPPES CertifiedNovember 4, 2025

✔ NPI 1891340055 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

3022 JAVIER RD STE 105E, Fairfax, VA 22031

Open in Google Maps ↗

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

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 Ninas Health Care Fairfax Incorporated's NPI number?

The NPI number for Ninas Health Care Fairfax Incorporated is 1891340055. It was assigned to this organization in the NPPES registry on August 5, 2019.

Where is Ninas Health Care Fairfax Incorporated located?

Ninas Health Care Fairfax Incorporated is located at 3022 Javier Rd Ste 105E, Fairfax, VA 22031. The listed phone number is (614) 314-5416.

What is Ninas Health Care Fairfax Incorporated'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 Ninas Health Care Fairfax Incorporated was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.