Individual provider Active NPI

Melissa Hewitt, NP

  • Gerontology Nurse Practitioner
  • Alexandria, VA
National Provider Identifier
1194242610
Registry record updated Aug 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0024175311 Issued in VA
Practice address
8109 Hinson Farm Rd Ste 504
Alexandria, VA 22306-3411
Phone
(703) 780-2800
Fax
(703) 780-0461
NPI assigned
Aug 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 0024175311 VA Primary

Addresses

Primary practice location

8109 Hinson Farm Rd Ste 504
Alexandria, VA 22306-3411

Mailing address

7764 Armistead Rd Ste 240
Lorton, VA 22079-1920
Phone (571) 359-4000

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
I20171019001883 DC Practitioner - Nurse Practitioner 6204102262 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Mar 6, 2019 Accepting new patients
Privia Medical Group, LLC CurrentSince Mar 6, 2019 Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

8109 Hinson Farm Rd
Ste 504
Alexandria, VA 22306
Phone (703) 339-3210

7764 Armistead Rd
Ste 240
Lorton, VA 22079
Phone (571) 359-4000

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503619200000",
    "number": "1194242610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7764 ARMISTEAD RD STE 240",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791920",
            "telephone_number": "571-359-4000",
            "fax_number": "703-621-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8109 HINSON FARM RD STE 504",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063411",
            "telephone_number": "703-780-2800",
            "fax_number": "703-780-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWITT",
        "first_name": "MELISSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2017-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024175311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.