Samuel Mayo, FNP
Nurse Practitioner, Family in Falls Church, VA. Individual provider (NPI-1).
Details
- NPI
- 1033769872
- Entity type
- Individual (NPI-1)
- Name
- Samuel Mayo
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2019
- Certification date
- Aug 5, 2021
- Last updated
- Aug 5, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0024180697 | VA | Yes |
| 163W00000X | Registered Nurse | RN2312854 | MA |
Practice location
3300 Gallows RdFalls Church, VA 22042-3307
Phone 703-776-4001 · Fax 703-776-7113
Mailing address
Po Box 37174Baltimore, MD 21297-3174
Phone 571-423-5699 · Fax 571-423-5698
Other practice locations
Brighton, MA 02135-1502
Phone 617-782-8113
Alexandria, VA 22304-1535
Phone 703-504-3000 · Fax 703-504-3388
Fairfax, VA 22033-1709
Phone 703-391-3600 · Fax 703-391-3414
Alexandria, VA 22311-1715
Phone 703-845-1500 · Fax 703-845-1300
Fairfax, VA 22033-1764
Phone 703-391-4500 · Fax 703-391-4590
Fairfax, VA 22031-4867
Phone 571-472-4200 · Fax 571-472-4201
Gainesville, VA 20155-3266
Phone 703-391-4500 · Fax 703-391-4590
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 171 Family Nurse Practitioner providers in Falls Church · All 4,923 providers in Falls Church
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