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NPISignal

Individual Healthcare Provider

Alison Beth Mantua, PA-C

NPI Record: ActivePhysician Assistant — Medical
NPI1184771677
Fairfax, Virginia

Provider's NPPES record last updated: August 26, 2010

Overview

Entity Type
Individual Healthcare Provider
NPI
1184771677
Primary Specialty
Physician Assistant — Medical
Practice Location
Fairfax, Virginia
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 5:02 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Physician Assistant

    Medical

    Physician Assistants & Advanced Practice Nursing Providers

    Primary

    Definition to come...

    Taxonomy code 363AM0700X

Provider-Reported License Information

Physician Assistant (Virginia)
0110001075
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

8503 Arlington Blvd

Suite 310

Fairfax, Virginia 22031-4628

Phone: (703) 208-4200

Record Information

Enumeration Date
January 5, 2007
Provider's NPPES Record Last Updated
August 26, 2010
NPISignal NPPES Dataset
August 2026

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Incorrect provider information

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