Active NPI
Hannah Lark, CPNP
- Pediatric Nurse Practitioner
- Gainesville, VA
National Provider Identifier
1225920838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0024194081
- Practice address
- 14535 John Marshall Hwy Ste 201
Gainesville, VA 20155-4024 - Phone
- (703) 753-6184
- NPI assigned
- Jul 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0024194081 | VA | Primary |
Addresses
Primary practice location
14535 John Marshall Hwy Ste 201
Gainesville, VA 20155-4024
Mailing address
4228 Pennsboro CT
Chantilly, VA 20151-2726
Phone (703) 927-6389
Other practice location 1
10623 Crestwood Dr
Manassas, VA 20109-3433
Phone (703) 361-7131
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)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024194081 | VA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trusted Doctors LLC | Single Specialty | Past | Accepting new patients |
| Crestwood Pediatric Associates PC | Single Specialty | Past | Accepting new patients |
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": "1752710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1225920838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4228 PENNSBORO CT",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201512726",
"telephone_number": "703-927-6389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14535 JOHN MARSHALL HWY STE 201",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201554024",
"telephone_number": "703-753-6184"
}
],
"practiceLocations": [
{
"address_1": "10623 Crestwood Dr",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201093433",
"country_code": "US",
"telephone_number": "703-361-7131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARK",
"first_name": "HANNAH",
"credential": "CPNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-17",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VA",
"license": "0024194081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.