Individual provider Active NPI

Alexandra Marie Clark, FNP

  • Family Nurse Practitioner
  • Manassas, VA
National Provider Identifier
1225828429
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024193146 Issued in VA
Practice address
9378 Forestwood LN Ste E
Manassas, VA 20110-4742
Phone
(703) 361-7341
Fax
(703) 368-9757
NPI assigned
May 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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 0024193146 VA Primary

Addresses

Primary practice location

9378 Forestwood LN Ste E
Manassas, VA 20110-4742

Mailing address

9378 Forestwood LN Ste E
Manassas, VA 20110-4742
Phone (703) 361-7341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250626001633 VA Practitioner - Family Practice 7911419643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney and Hypertension Specialists, PLLCGroup PAC ID 5890792444, 7 clinicians

Practice addresses (Care Compare)

9378 Forestwood LN
Suite E
Manassas, VA 20110-4742
Phone (703) 361-7341

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024193146VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney and Hypertension Specialists PLLC CurrentSince Jul 21, 2025 Accepting new patients

Locations

9378 Forestwood Ln
Ste E
Manassas, VA 20110
Phone (703) 361-7341

14000 Crown Ct
Ste 110
Woodbridge, VA 22193
Phone (703) 361-7341

Interoperability endpoints

  • Direct secure messaging: aclark624188@direct.healthsystem.virginia.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/HGBEAA
  • Direct secure messaging: aclark80319@direct.acumenmd.com

Organizations & group practices 1

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": "1746748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1225828429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9378 FORESTWOOD LN STE E",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104742",
            "telephone_number": "703-361-7341",
            "fax_number": "703-368-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9378 FORESTWOOD LN STE E",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104742",
            "telephone_number": "703-361-7341",
            "fax_number": "703-368-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024193146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.