Active NPI
Andrea Lattimore, FNP-BC
- Family Nurse Practitioner
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024186630
- Practice address
- 6354 Walker LN Ste 210
Alexandria, VA 22310-3255 - Phone
- (703) 971-6900
- NPI assigned
- Feb 28, 2023
- 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 | 0024186630 | VA | Primary |
Addresses
Primary practice location
6354 Walker LN Ste 210
Alexandria, VA 22310-3255
Mailing address
4141 S Four Mile Run Dr Unit 402
Arlington, VA 22204-3963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- 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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
44035 Riverside Pkwy
Suite 100
Leesburg, VA 20176-8274
Phone (703) 858-8850
8081 Innovation Park Dr
Fairfax, VA 22031-4867
Phone (571) 472-0606
Hospital & facility affiliations
- Inova Fairfax Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024186630 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiation Oncology Associates, PC | Current | Accepting new patients | |
| Trusted Doctors LLC | Past | Accepting new patients |
Locations
4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000
8081 Innovation Park Dr
Ste 301
Fairfax, VA 22031
Phone (571) 472-6431
8081 Innovation Park Dr
Fairfax, VA 22031
Phone (571) 472-0606
3580 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-4250
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
44035 Riverside Pkwy
Ste 100
Leesburg, VA 20176
Phone (703) 858-8850
2280 Opitz Blvd
Ste 120
Woodbridge, VA 22191
Phone (703) 580-5160
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Fairfax, VA
- NPI 1083793525
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1144929027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4141 S FOUR MILE RUN DR UNIT 402",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222043963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6354 WALKER LN STE 210",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223103255",
"telephone_number": "703-971-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATTIMORE",
"first_name": "ANDREA",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-28",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024186630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.