Individual provider Active NPI

Andrea Lattimore, FNP-BC

  • Family Nurse Practitioner
  • Alexandria, VA
National Provider Identifier
1144929027
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024186630 Issued in VA
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

Updated by the provider on Feb 28, 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 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, VA2 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
I20250826000195 DC Practitioner - Nurse Practitioner 2668972407 Reassigns benefits to 1 organization
I20251125001036 VA Practitioner - Nurse Practitioner 2668972407 Reassigns benefits to 1 organization

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
Radiation Oncology Associates PCGroup PAC ID 1254302359, 22 clinicians

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 Hospital, Falls Church, VA, CCN 490063

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024186630VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology Associates, PC CurrentSince Aug 1, 2025 Accepting new patients
Trusted Doctors LLC PastSince Mar 5, 2023 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.