Healthcare Provider Details

I. General information

NPI: 1417800251
Provider Name (Legal Business Name): PARIS MONET RODGERS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1892 PRESTON WHITE DR
RESTON VA
20191-5497
US

IV. Provider business mailing address

7542 LAUREL CREEK LN
SPRINGFIELD VA
22150-4909
US

V. Phone/Fax

Practice location:
  • Phone: 443-924-4660
  • Fax:
Mailing address:
  • Phone: 443-924-4660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: