OrganizationActive
Ageless Women'S Health Va LLC
NPI 1962263293 · Family Medicine Physician · Herndon, VA
Provider details
- NPI number
- 1962263293
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Teah Phillips, Credentialing Manager(901) 205-3999
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
171 Elden St Ste 160
Herndon, VA 20170-4834
Phone: (703) 890-2209
Street-level locationGet directions
Mailing address
171 Elden St Ste 160
Herndon, VA 20170-4834
Other names (DBA / former)
- Doing business as
- Ageless Women'S Health Herndon
Registry dates
- Enumerated
- 2024-01-23
- Last updated
- 2024-01-23
- Certified
- 2024-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.