Jessica Cancryn

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0001308048 Issued in VA

Practice address

4660 Kenmore Ave Ste 1100
Alexandria, VA 22304-1311

Phone

(703) 370-0073

Fax

(757) 343-2002

NPI assigned

Jun 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jessica.cancryn@adcsclinics.com

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1063151777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE STE 1100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041311",
            "telephone_number": "703-370-0073",
            "fax_number": "757-343-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE STE 1100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041311",
            "telephone_number": "703-370-0073",
            "fax_number": "757-343-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCRYN",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001308048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "0001308048",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jessica.cancryn@adcsclinics.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4660 Kenmore Ave Ste 1100",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223041311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexandra Yadira Campos Martin, PSY.D.
• Lisa Campos
• Shakila Canada
• Ana Canales Williams
• Miriam Canales
• Laura Canetti
• Jennifer Cann, LCSW
• Morgan Michelle Canner
• Alexandria Cannon, RESIDENT LPC, LMFT
• Mary Ann Cacatian Canonizado, PHARMD

• Registered Nurse in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.