Individual provider Active NPI

Jessica Zullo George, NP

  • Family Nurse Practitioner
  • Alexandria, VA
National Provider Identifier
1194133983
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024171851 Issued in VA
Practice address
4660 Kenmore Ave Ste 1018
Alexandria, VA 22304-1306
Phone
(571) 483-1800
Fax
(703) 823-5723
NPI assigned
Jul 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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 0024171851 VA Primary

Addresses

Primary practice location

4660 Kenmore Ave Ste 1018
Alexandria, VA 22304-1306

Mailing address

4660 Kenmore Ave Ste 1018
Alexandria, VA 22304-1306
Phone (571) 483-1800

Other identifiers 1

IdentifierTypeStateIssuer
1194133983MedicaidVA

Other names 1

  • Jessica L Zullo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160506000493 DC Practitioner - Nurse Practitioner 0648579011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Cancer Specialists, P.C.Group PAC ID 2264412485, 80 clinicians

Practice addresses (Care Compare)

4660 Kenmore Ave
Suite 1018
Alexandria, VA 22304-1306
Phone (571) 483-1800

Hospital & facility affiliations

  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Cancer Specialists, P.C. CurrentSince Mar 29, 2016 Accepting new patients
Virginia Cancer Specialists, P.C. CurrentSince Mar 29, 2016 Accepting new patients

Locations

277 S Washington St
Ste 100
Alexandria, VA 22314
Phone (571) 366-5792

4660 Kenmore Ave
Ste 1018
Alexandria, VA 22304
Phone (571) 483-1800

1100 N Glebe Rd
Ste 1600
Arlington, VA 22201

8613 Route 29
Ste 101
Fairfax, VA 22031
Phone (703) 783-4510

3040 Williams Dr
Ste 100
Fairfax, VA 22031

8613 Route 29
Ste 200N
Fairfax, VA 22031
Phone (703) 208-3120

8613 Route 29
Ste 100N
Fairfax, VA 22031
Phone (703) 934-4450

3700 Joseph Siewick Dr
Ste 408
Fairfax, VA 22033
Phone (703) 391-4212

44035 Riverside Pkwy
Ste 300
Leesburg, VA 20176
Phone (703) 208-3155

44035 Riverside Pkwy
Ste 310
Leesburg, VA 20176

9450 Innovation Dr
Manassas, VA 20110
Phone (571) 222-2200

1860 Town Center Dr
Ste 460
Reston, VA 20190
Phone (703) 437-6535

210 W Shirley Ave
Ste 192
Warrenton, VA 20186
Phone (540) 316-4360

210 W Shirley Ave
#111
Warrenton, VA 20186
Phone (703) 208-9331

2280 Opitz Blvd
Ste 130
Woodbridge, VA 22191
Phone (713) 508-4005

Interoperability endpoints

  • Direct secure messaging: jessica.george@vcs.ikm.direct-ci.com

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": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1194133983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE STE 1018",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041306",
            "telephone_number": "571-483-1800",
            "fax_number": "703-823-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE STE 1018",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041306",
            "telephone_number": "571-483-1800",
            "fax_number": "703-823-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "JESSICA",
        "middle_name": "ZULLO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194133983",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ZULLO",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.