Healthcare Provider Details

I. General information

NPI: 1336070895
Provider Name (Legal Business Name): CATALYST HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

11701 NEWBRIDGE CT
RESTON VA
20191-3503
US

IV. Provider business mailing address

11160C1 S LAKES DR # 735
RESTON VA
20191-4327
US

V. Phone/Fax

Practice location:
  • Phone: 571-294-7867
  • Fax:
Mailing address:
  • Phone: 571-250-6553
  • Fax: 571-376-6938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHARON R SIMON
Title or Position: OWNER / NURSE PRACTITIONER
Credential: DNP, FNP-C, PMHNP-C
Phone: 571-250-6553