Active NPI
Danette E Nicholes, AGNP
- Nurse Practitioner
- Fairfax, VA
National Provider Identifier
1033666003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024173894
- Practice address
- 2700 Prosperity Ave Ste 270
Fairfax, VA 22031-4321 - Phone
- (703) 698-2431
- Fax
- (703) 665-6878
- NPI assigned
- Sep 7, 2016
- Last updated
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024173894 | VA | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 002417389 | VA | |
| Gerontology Nurse Practitioner | 363LG0600X | 0024173894 | VA |
Addresses
Primary practice location
2700 Prosperity Ave Ste 270
Fairfax, VA 22031-4321
Mailing address
50 Irving St NW
Washington, DC 20422
Phone (202) 745-8000
Other names 1
- Danette E Byers
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dnicholes514875@soc.inova.org | Health Information Exchange (HIE) | Inova Health Care Services |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.36 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024173894 | VA | MD | Nurse Practitioner |
| 002417389 | VA | MD | Adult Health Nurse Practitioner |
Interoperability endpoints
- dnicholes514875@soc.inova.org
Organizations & group practices 1
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": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1033666003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 IRVING ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20422",
"telephone_number": "202-745-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 PROSPERITY AVE STE 270",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314321",
"telephone_number": "703-698-2431",
"fax_number": "703-665-6878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLES",
"first_name": "DANETTE",
"middle_name": "E",
"credential": "AGNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-07",
"last_updated": "2023-11-27",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024173894",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "VA",
"license": "002417389",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "VA",
"license": "0024173894",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dnicholes514875@soc.inova.org",
"affiliation": "Y",
"endpointDescription": "Health Information Exchange",
"affiliationName": "Inova Health Care Services",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "2700 Prosperity Ave Ste 270",
"city": "Fairfax",
"state": "VA",
"country_code": "US",
"postal_code": "220314321",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DANETTE",
"last_name": "BYERS",
"middle_name": "E",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.