Andrea D Stallworth-Verstraete, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN963727 Issued in DC

Practice address

845 Bladensburg Rd NE
Washington, DC 20002-3927

Phone

(202) 397-2600

NPI assigned

Sep 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1134316045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 T ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200011841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 BLADENSBURG RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023927",
            "telephone_number": "202-397-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLWORTH-VERSTRAETE",
        "first_name": "ANDREA",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN963727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Wesley Stallings, PA-C
• Jamell A Stallings
• William Charles Stallings, MD
• Hannah Lee Stallkamp, PA-C
• Jeffry Bowen Stallsmith, DDS
• Lambros Stamatakis, M.D.
• Abigail Joy Stamatiou, NP
• Sola Stamm, CNM
• Walter Harris Stamp II, LGPC, MA
• Fallon Euell Stamper

• Family Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Family Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.