Active NPI
Jessica Padilla, N.P.
- Women's Health Nurse Practitioner
- Fairfax, VA
National Provider Identifier
1164812723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 0024171911
- Practice address
- 3025 Hamaker CT
Suite #360
Fairfax, VA 22031-2237 - Phone
- (703) 356-7868
- NPI assigned
- Feb 3, 2015
- Last updated
- Aug 28, 2015
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 0024171911 | VA | Primary |
Addresses
Primary practice location
3025 Hamaker CT
Suite #360
Fairfax, VA 22031-2237
Mailing address
3025 Hamaker CT
Suite #360
Fairfax, VA 22031-2237
Phone (703) 356-7868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024171911 | VA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1164812723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 HAMAKER CT",
"address_2": "SUITE #360",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312237",
"telephone_number": "703-356-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 HAMAKER CT",
"address_2": "SUITE #360",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312237",
"telephone_number": "703-356-7868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "JESSICA",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-03",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "VA",
"license": "0024171911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.