Individual provider Active NPI

Joanne F Charles, FNP-C

  • Family Medicine Physician
  • Alexandria, VA
National Provider Identifier
1033169941
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0024165116 Issued in VA
Practice address
6355 Walker LN
Suite 310
Alexandria, VA 22310
Phone
(703) 971-8600
Fax
(703) 971-9043
NPI assigned
May 11, 2006
Last updated
Sep 16, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024165116 VA
Family Medicine Physician 207Q00000X 0024165116 VA Primary

Addresses

Primary practice location

6355 Walker LN
Suite 310
Alexandria, VA 22310

Mailing address

P.O. Box 150594
Alexandria, VA 22315
Phone (703) 971-8600

Other identifiers 1

IdentifierTypeStateIssuer
80152795MedicaidVA

Other names 1

  • Joanne F. Bishop Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091109000036 DC Practitioner - Nurse Practitioner 3375538622 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024165116VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Physician Partners, LLC Family Medicine CurrentSince Nov 3, 2014 Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

6355 Walker Ln
Ste 310
Alexandria, VA 22310
Phone (703) 971-8600

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1033169941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 150594",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22315",
            "telephone_number": "703-971-8600",
            "fax_number": "703-971-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 WALKER LN",
            "address_2": "SUITE 310",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22310",
            "telephone_number": "703-971-8600",
            "fax_number": "703-971-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "JOANNE",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024165116",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0024165116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80152795",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "BISHOP",
            "middle_name": "F.",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.