Individual provider Active NPI

Laura Brott

  • Women's Health Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1083385967
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0024182720 Issued in VA
Practice address
3620 Joseph Siewick Dr Ste 307
Fairfax, VA 22033-1760
Phone
(571) 419-5645
Fax
(571) 665-6428
NPI assigned
Sep 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024182720 VA
Women's Health Nurse Practitioner 363LW0102X 0024182720 VA Primary

Addresses

Primary practice location

3620 Joseph Siewick Dr Ste 307
Fairfax, VA 22033-1760

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 472-6253

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211228000350 DC Practitioner - Nurse Practitioner 7012308497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

3300 Gallows Rd
Falls Church, VA 22042-3307

3620 Joseph Siewick Dr
Fairfax, VA 22033-1757
Phone (703) 348-4716

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PRM Gynecology of Virginia PC CurrentSince Dec 7, 2025 Accepting new patients
Inova Health Care Services CurrentSince Nov 18, 2024 Accepting new patients
Inova Health Care Services CurrentSince Nov 18, 2024 Accepting new patients

Locations

2090 Palm Beach Lakes Blvd
Ste 700
West Palm Beach, FL 33409
Phone (561) 805-3873

4660 Kenmore Ave
Ste 902
Alexandria, VA 22304
Phone (703) 370-4300

4660 Kenmore Ave
Alexandria, VA 22304
Phone (703) 370-2132

3620 Joseph Siewick Dr
Ste 307
Fairfax, VA 22033
Phone (703) 281-1023

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

6565 Arlington Blvd
Ste 404
Falls Church, VA 22042
Phone (703) 637-3282

6565 Arlington Blvd
Falls Church, VA 22042
Phone (703) 534-1000

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1083385967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-472-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 JOSEPH SIEWICK DR STE 307",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331760",
            "telephone_number": "571-419-5645",
            "fax_number": "571-665-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTT",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024182720",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024182720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.