Individual provider Active NPI

Elizabeth Hartman, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Springfield, VA
National Provider Identifier
1043560238
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024170243 Issued in VA
Practice address
6564 Loisdale CT Ste 205
Springfield, VA 22150-1812
Phone
(703) 644-7800
Fax
(703) 644-1508
NPI assigned
Sep 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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 0024170243 VA Primary

Addresses

Primary practice location

6564 Loisdale CT Ste 205
Springfield, VA 22150-1812

Mailing address

6564 Loisdale CT Ste 205
Springfield, VA 22150-1812
Phone (703) 644-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130115000442 DC Practitioner - Nurse Practitioner 5597918995 Reassigns benefits to 1 organization
I20160425001019 VA Practitioner - Nurse Practitioner 5597918995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Specialists of Northern VAGroup PAC ID 6608761762, 18 clinicians

Practice addresses (Care Compare)

6564 Loisdale CT
Suite 205
Springfield, VA 22150-1812
Phone (703) 644-7800

8712 Sudley Rd
Manassas, VA 20110-4405
Phone (703) 330-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose & Throat Specialists of Northern VA CurrentSince Oct 1, 2012 Accepting new patients
About Women OB/GYN Past Accepting new patients

Locations

8712 Sudley Rd
Manassas, VA 20110
Phone (703) 330-4500

8314 Traford Ln
Springfield, VA 22152
Phone (703) 569-8988

6564 Loisdale Ct
Ste 205
Springfield, VA 22150
Phone (703) 644-7800

8314 Traford Ln
Ste C
Springfield, VA 22152
Phone (703) 644-7800

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10039435

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1043560238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6564 LOISDALE CT STE 205",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501812",
            "telephone_number": "703-644-7800",
            "fax_number": "703-644-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6564 LOISDALE CT STE 205",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501812",
            "telephone_number": "703-644-7800",
            "fax_number": "703-644-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "ELIZABETH",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.