Active NPI
Alexandra Rose Villanueva, FNP
- Family Nurse Practitioner
- Gaithersburg, MD
National Provider Identifier
1124904206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AC007947
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC007947 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zeus Primary Care Associates LLC | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.