Individual provider Active NPI

Louise C Ritz, NP

  • Family Nurse Practitioner
  • Reston, VA
National Provider Identifier
1033116108
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024164018 Issued in VA
Practice address
12524 Sunrise Valley Dr
Reston, VA 20191-3438
Phone
(703) 689-2180
Fax
(703) 481-3853
NPI assigned
Jul 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024164018 VA Primary

Addresses

Primary practice location

12524 Sunrise Valley Dr
Reston, VA 20191-3438

Mailing address

13550 Smallwood LN
Chantilly, VA 20151-2519
Phone (703) 587-5983

Other identifiers 1

IdentifierTypeStateIssuer
007789343MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024164018VAMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1033116108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13550 SMALLWOOD LN",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512519",
            "telephone_number": "703-587-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12524 SUNRISE VALLEY DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913438",
            "telephone_number": "703-689-2180",
            "fax_number": "703-481-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITZ",
        "first_name": "LOUISE",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024164018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007789343",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.