Individual provider Active NPI

Nancy Perez Ramirez, FNP-C

  • Nurse Practitioner
  • Bristow, VA
National Provider Identifier
1124678495
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024178923 Issued in VA
Practice address
13767 Restina Rd
Bristow, VA 20136-5788
Phone
(703) 665-9488
NPI assigned
Sep 18, 2019
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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 1152392 TX
Nurse Practitioner 363L00000X 0024178923 VA Primary

Addresses

Primary practice location

13767 Restina Rd
Bristow, VA 20136-5788

Mailing address

13767 Restina Rd
Bristow, VA 20136-5788
Phone (703) 665-9488

Other practice location 1

46200 Potomac Run Plz
Sterling, VA 20164-6622
Phone (715) 313-5087

Other practice location 2

7504 Iron Bar Ln
Gainesville, VA 20155-2999
Phone (703) 214-6984

Other practice location 3

7051 Healthcote Vlg Wy
Suite 270
Gainesville, VA 20155
Phone (571) 636-9601

Other identifiers 2

IdentifierTypeStateIssuer
0024178923OtherVANURSE PRACTITIONER
88-3880896OtherVAFANCY FACE AESTHETICS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20210316000364 VA Practitioner - Nurse Practitioner 2062744170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11700 Sudley Manor Dr
Manassas, VA 20109-2843

2000 Health Park Dr
Brentwood, TN 37027-4692

42010 Village Ctr PLZ
Suite 100
Aldie, VA 20105-3036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1152392TXMDNurse Practitioner
0024178923VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sechoir Blow Dry Bar, LLC PastSince Jan 18, 2026 Accepting new patients
Falls Church Pediatrics PastSince Sep 29, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCJFCD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1124678495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13767 RESTINA RD",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201365788",
            "telephone_number": "703-665-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13767 RESTINA RD",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201365788",
            "telephone_number": "703-665-9488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46200 Potomac Run Plz",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201646622",
            "country_code": "US",
            "telephone_number": "715-313-5087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7504 Iron Bar Ln",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "VA",
            "postal_code": "201552999",
            "country_code": "US",
            "telephone_number": "703-214-6984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7051 Healthcote Vlg Wy",
            "address_2": "Suite 270",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "VA",
            "postal_code": "20155",
            "country_code": "US",
            "telephone_number": "571-636-9601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "NANCY",
        "middle_name": "PEREZ",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1152392",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024178923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "0024178923",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FANCY FACE AESTHETICS",
            "identifier": "88-3880896",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristow, VA

Sources for this page

Verify at the official NPI Registry.