Active NPI
Angela Ann Fasanella, FNP-BC
- Family Nurse Practitioner
- Kent, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP.AP.61153619-NP
- Practice address
- 219 State Ave N # 200
Kent, WA 98030-4543 - Phone
- (253) 372-7849
- Fax
- (253) 372-7844
- NPI assigned
- Sep 12, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024173959 | VA | |
| Family Nurse Practitioner | 363LF0000X | ARNP.AP.61153619-NP | WA | Primary |
Addresses
Primary practice location
219 State Ave N # 200
Kent, WA 98030-4543
Mailing address
PO Box 5299
Ms: 820-5-Pco
Tacoma, WA 98415-0299
Other practice location 1
17739 Main St Ste 110
Dumfries, VA 22026-3256
Phone (703) 574-3415
Other practice location 2
14904 Jefferson Davis Hwy Ste 208
Woodbridge, VA 22191
Phone (703) 224-9999
Other practice location 3
9009 Silverbrook Rd
Fairfax Station, VA 22039-2607
Phone (866) 389-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16830 Dumfries Rd
Suite 150
Dumfries, VA 22025-2056
Phone (703) 574-3415
Hospital & facility affiliations
- Sentara Northern Virginia Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Greatest Care LLC | Family | Current | Accepting new patients |
| Roanoke Valley Healthcare Partners, LLC | Current | Accepting new patients | |
| Sentara Medical Group | Current | Accepting new patients | |
| Express Healthcare, LLC | Current | Accepting new patients | |
| Minuteclinic Diagnostic of Virginia LLC | Family | Current | Accepting new patients |
| Blue Ridge Healthcare Partners, LLC | Past | Accepting new patients | |
| Short Pump Family Care, LLC | Past | Accepting new patients | |
| Express Healthcare, LLC | Past | Accepting new patients |
Locations
6201 Greenbelt Rd
Ste M16
Berwyn Heights, MD 20740
Phone (301) 441-4400
6201 Greenbelt Rd
Ste M15
Berwyn Heights, MD 20740
Phone (301) 441-1112
1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687
9276 Old Keene Mill Rd
Burke, VA 22015
Phone (571) 516-3116
17739 Main St
Ste 110
Dumfries, VA 22026
Phone (703) 574-3415
16830 Dumfries Rd
Ste 150
Dumfries, VA 22025
Phone (703) 574-3415
9009 Silverbrook Rd
Fairfax Station, VA 22039
Phone (703) 493-8531
6305 Castle Pl
Ste 2D
Falls Church, VA 22044
Phone (703) 344-8355
19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918
12731 Stone Village Way
Midlothian, VA 23113
Phone (804) 379-1500
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
1119 N Military Hwy
Ste 300
Norfolk, VA 23502
Phone (757) 224-3004
602 Brandon Ave SW
Ste 222
Roanoke, VA 24015
Phone (540) 774-0000
1013 University Blvd
Ste 270
Suffolk, VA 23435
Phone (757) 335-4755
1980 Gallows Rd
Ste 100
Vienna, VA 22182
Phone (703) 436-0203
1721 Laskin Rd
Ste 101
Virginia Beach, VA 23454
Phone (757) 240-3500
14087 Richmond Hwy
Ste 101
Woodbridge, VA 22191
Phone (571) 300-8000
4101 Cheshire Station Plz
Ste 500
Woodbridge, VA 22193
Phone (571) 374-1234
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BHIDAD/Endpoint/BHIDAD
Organizations & group practices 10
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.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Urgent Care Clinic/Center
- Williamsburg, VA
- NPI 1205350584
-
- Primary Care Clinic/Center
- Roanoke, VA
- NPI 1518304955
-
- Urgent Care Clinic/Center
- College Park, MD
- NPI 1447605712
-
- Primary Care Clinic/Center
- Midlothian, VA
- NPI 1487068334
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Woodbridge, VA
- NPI 1548366404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1043768682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5299",
"address_2": "MS: 820-5-PCO",
"city": "TACOMA",
"state": "WA",
"postal_code": "984150299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 STATE AVE N # 200",
"city": "KENT",
"state": "WA",
"postal_code": "980304543",
"telephone_number": "253-372-7849",
"fax_number": "253-372-7844"
}
],
"practiceLocations": [
{
"address_1": "17739 Main St Ste 110",
"address_purpose": "LOCATION",
"city": "Dumfries",
"state": "VA",
"postal_code": "220263256",
"country_code": "US",
"telephone_number": "703-574-3415",
"fax_number": "757-452-5768",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14904 Jefferson Davis Hwy Ste 208",
"address_purpose": "LOCATION",
"city": "Woodbridge",
"state": "VA",
"postal_code": "22191",
"country_code": "US",
"telephone_number": "703-224-9999",
"fax_number": "571-384-6702",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9009 Silverbrook Rd",
"address_purpose": "LOCATION",
"city": "Fairfax Station",
"state": "VA",
"postal_code": "220392607",
"country_code": "US",
"telephone_number": "866-389-2727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FASANELLA",
"first_name": "ANGELA",
"middle_name": "ANN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-12",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024173959",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "ARNP.AP.61153619-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.