Individual provider Active NPI

Kiersten Maureen Bezold, FNP-C

  • Family Nurse Practitioner
  • Arlington, VA
National Provider Identifier
1124701818
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024186408 Issued in VA
Practice address
1005 N Glebe Rd Ste 430
Arlington, VA 22201-5931
Phone
(571) 302-3920
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024186408 VA Primary

Addresses

Primary practice location

1005 N Glebe Rd Ste 430
Arlington, VA 22201-5931

Mailing address

1005 N Glebe Rd Ste 430
Arlington, VA 22201-5931
Phone (571) 302-3920

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
I20240215000029 DC Practitioner - Nurse Practitioner 5890139133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

1005 N Glebe Rd
400 Inova Medical Group OB/GYN Ballst
Arlington, VA 22201-5758
Phone (571) 302-3920

3300 Gallows Rd
Falls Church, VA 22042-3307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024186408VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jan 21, 2024 Accepting new patients
Inova Health Care Services Current Accepting new patients
Inova Health Care Services CurrentSince Jan 21, 2024 Accepting new patients

Locations

1005 N Glebe Rd
Ste 430
Arlington, VA 22201
Phone (571) 302-3920

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

Interoperability endpoints

  • Direct secure messaging: kbezold1270550@soc.inova.org

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": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1124701818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N GLEBE RD STE 430",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015931",
            "telephone_number": "571-302-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N GLEBE RD STE 430",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015931",
            "telephone_number": "571-302-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZOLD",
        "first_name": "KIERSTEN",
        "middle_name": "MAUREEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024186408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.