Individual provider Active NPI

Alexandra Rose Villanueva, FNP

  • Family Nurse Practitioner
  • Gaithersburg, MD
National Provider Identifier
1124904206
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AC007947 Issued in MD
Practice address
818 W Diamond Ave Ste 130
Gaithersburg, MD 20878-1417
Phone
(301) 762-7723
NPI assigned
Aug 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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 AC007947 MD Primary

Addresses

Primary practice location

818 W Diamond Ave Ste 130
Gaithersburg, MD 20878-1417

Mailing address

818 W Diamond Ave Ste 130
Gaithersburg, MD 20878-1417
Phone (301) 762-7723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251105001724 MD Practitioner - Nurse Practitioner 9638666092 Reassigns benefits to 1 organization
I20251105002011 DC Practitioner - Nurse Practitioner 9638666092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zeus Primary Care Associates LLCGroup PAC ID 7113343443, 15 clinicians

Practice addresses (Care Compare)

50 W Edmonston Dr
Suite 404
Rockville, MD 20852-1274
Phone (301) 762-7723

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC007947MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zeus Primary Care Associates LLC CurrentSince Oct 6, 2025 Accepting new patients

Locations

818 W Diamond Ave
Ste 130
Gaithersburg, MD 20878
Phone (301) 762-7723

50 W Edmonston Dr
Ste 404
Rockville, MD 20852
Phone (301) 762-7723

Interoperability endpoints

  • Direct secure messaging: alexandra.villanueva.1@22023.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1124904206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W DIAMOND AVE STE 130",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781417",
            "telephone_number": "301-762-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W DIAMOND AVE STE 130",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781417",
            "telephone_number": "301-762-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "ALEXANDRA",
        "middle_name": "ROSE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC007947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.