Lisa Reynado, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

24172357 Issued in VA

Practice address

9300 Dewitt Loop
Ft Belvoir, VA 22060-5285

Phone

(571) 231-1803

Fax

(571) 231-6617

NPI assigned

Feb 8, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Lisa Ruidera Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Woodbridge Pediatrics LTD

  • Pediatrics Physician
  • Woodbridge, VA
  • NPI 1336154822
  NPD (past)

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

{
    "created_epoch": "1391817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1063836229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 DEWITT LOOP",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220605285",
            "telephone_number": "571-231-1803",
            "fax_number": "571-231-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 DEWITT LOOP",
            "city": "FT BELVOIR",
            "state": "VA",
            "postal_code": "220605285",
            "telephone_number": "571-231-1803",
            "fax_number": "571-231-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNADO",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-08",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23624",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "24172357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://fbchintranet2.med.ds.osd.mil/",
            "affiliation": "N",
            "address_1": "9300 DeWitt Loop",
            "city": "Ft Belvoir",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220605285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://fbchintranet2.med.ds.osd.mil/",
            "affiliation": "N",
            "address_1": "9300 DeWitt Loop",
            "city": "Ft Belvoir",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220605285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "RUIDERA",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gayathri M Reddy, M.D.
• Emilie Reed, LICSW, SUDP
• Ruth Esther Reese, MD
• Leslie Morgan Reid, M.A.,CCC-A
• Richard J Repeta Jr., MD, MPH
• Dominique Michel Reynders, D.D.S.
• Kimberly Dawn Richards, EMT-B
• Ramona Veronica Richardson, RN
• Stacey Richardson, PHD
• Hannah Richman

• Family Nurse Practitioner in Ft Belvoir, VA
• Providers in Ft Belvoir, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.