Individual provider Active NPI

Mary Elizabeth Webber

  • Family Nurse Practitioner
  • Reston, VA
National Provider Identifier
1184129389
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178694 Issued in VA
Practice address
1488 Northpoint Village Ctr
Reston, VA 20194-1190
Phone
(571) 525-5850
Fax
(571) 525-5851
NPI assigned
Mar 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R222258 MD
Family Nurse Practitioner 363LF0000X 0024178694 VA Primary

Addresses

Primary practice location

1488 Northpoint Village Ctr
Reston, VA 20194-1190

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Other practice location 1

3263 Columbia Pike
Arlington, VA 22204-4351
Phone (703) 746-0111

Other practice location 2

6201 Centreville Rd Ste 200
Centreville, VA 20121-2626
Phone (703) 830-5600

Other practice location 3

24801 Pinebrook Rd Ste 110
Chantilly, VA 20152-4113
Phone (703) 722-2500

Other practice location 4

180 Maple Ave W
Vienna, VA 22180-5727
Phone (703) 938-5300

Other practice location 5

4600 Lee Hwy Ste C
Arlington, VA 22207-3419
Phone (571) 492-3080

Other practice location 6

6230 Rolling Rd Ste Iandj
Springfield, VA 22152-2307
Phone (571) 665-6460

Other practice location 7

8357 Leesburg Pike
Vienna, VA 22182-2493
Phone (571) 665-6400

Other practice location 8

711C E Main St
Purcellville, VA 20132-3178
Phone (540) 338-4995

Other practice location 9

740 E Main St
Purcellville, VA 20132-3128
Phone (540) 338-4995

Other names 1

  • Ms. Mary Elizabeth Pride Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180828004009 MD Practitioner - Nurse Practitioner 8921358722 Reassigns benefits to 1 organization
I20200406001619 DC Practitioner - Nurse Practitioner 8921358722 Reassigns benefits to 2 organizations
I20200408000891 VA Practitioner - Nurse Practitioner 8921358722 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.6 of 100Reported as group
Quality
84.42
Promoting interoperability
100
Improvement activities
40
Cost
77.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R222258MDMDFamily Nurse Practitioner
0024178694VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Ucc LLC CurrentSince Nov 15, 2022 Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Jul 10, 2018 Accepting new patients
Inova Health Care Services CurrentSince Mar 30, 2020 Accepting new patients
Inova Health Care Services Current Accepting new patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Inova Health Care Services CurrentSince Mar 30, 2020 Accepting new patients
Fairfax Radiological Consultants Past Accepting new patients

Locations

22590 Shady Ct
California, MD 20619
Phone (301) 737-0500

22590 Shady Ct
Fl 1
California, MD 20619

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

3263 Columbia Pike
Arlington, VA 22204
Phone (703) 746-0111

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

711C E Main St
Purcellville, VA 20132
Phone (540) 338-4995

1488 Northpoint Village Ctr
Reston, VA 20194
Phone (571) 525-5850

6230 Rolling Rd
Ste I
Springfield, VA 22152
Phone (571) 665-6460

8357 Leesburg Pike
Vienna, VA 22182
Phone (571) 665-6400

180 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5300

Organizations & group practices 7

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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1184129389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 NORTHPOINT VILLAGE CTR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201941190",
            "telephone_number": "571-525-5850",
            "fax_number": "571-525-5851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3263 Columbia Pike",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222044351",
            "country_code": "US",
            "telephone_number": "703-746-0111",
            "fax_number": "703-746-6388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6201 Centreville Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "VA",
            "postal_code": "201212626",
            "country_code": "US",
            "telephone_number": "703-830-5600",
            "fax_number": "703-830-6942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24801 Pinebrook Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201524113",
            "country_code": "US",
            "telephone_number": "703-722-2500",
            "fax_number": "703-327-1850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Maple Ave W",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221805727",
            "country_code": "US",
            "telephone_number": "703-938-5300",
            "fax_number": "703-242-0726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 Lee Hwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222073419",
            "country_code": "US",
            "telephone_number": "571-492-3080",
            "fax_number": "571-492-3081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6230 Rolling Rd Ste Iandj",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221522307",
            "country_code": "US",
            "telephone_number": "571-665-6460",
            "fax_number": "571-565-6561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8357 Leesburg Pike",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221822493",
            "country_code": "US",
            "telephone_number": "571-665-6400",
            "fax_number": "571-665-6401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711C E Main St",
            "address_purpose": "LOCATION",
            "city": "Purcellville",
            "state": "VA",
            "postal_code": "201323178",
            "country_code": "US",
            "telephone_number": "540-338-4995",
            "fax_number": "540-338-2483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 E Main St",
            "address_purpose": "LOCATION",
            "city": "Purcellville",
            "state": "VA",
            "postal_code": "201323128",
            "country_code": "US",
            "telephone_number": "540-338-4995",
            "fax_number": "540-338-2483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBBER",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R222258",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "PRIDE",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.