Individual provider Active NPI

Julie Park, FNP

  • Family Nurse Practitioner
  • Reston, VA
National Provider Identifier
1235320516
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024172648 Issued in VA
Practice address
1860 Town Center Dr Ste 460
Reston, VA 20190-5901
Phone
(571) 222-2200
Fax
(712) 222-2025
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 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 0024172648 VA Primary

Addresses

Primary practice location

1860 Town Center Dr Ste 460
Reston, VA 20190-5901

Mailing address

3040 Williams Dr Ste 100
Fairfax, VA 22031-4618
Phone (571) 350-8400

Other identifiers 2

IdentifierTypeStateIssuer
456035ZAN3OtherDCMEDICARE PTAN
1235320516MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address julie.park@vcs.ikm.direct-ci.com Direct Virginia Cancer Specialists, P.C.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20151202000380 DC Practitioner - Nurse Practitioner 2961590948 Reassigns benefits to 1 organization
I20250103001884 VA Practitioner - Nurse Practitioner 2961590948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Cancer Specialists, P.C.Group PAC ID 2264412485, 80 clinicians

Practice addresses (Care Compare)

1860 Town Ctr Dr
Suite 460
Reston, VA 20190-5901
Phone (703) 437-6535

2280 Opitz Blvd
Suite 130
Woodbridge, VA 22191-3362
Phone (703) 986-1600

Hospital & facility affiliations

  • Reston Hospital Center Hospital, Reston, VA, CCN 490107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024172648VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Cancer Specialists, P.C. CurrentSince Sep 1, 2016 Accepting new patients
Virginia Cancer Specialists, P.C. CurrentSince Sep 1, 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

1635 N George Mason Dr
Ste 170
Arlington, VA 22205
Phone (703) 528-7303

1100 N Glebe Rd
Ste 1600
Arlington, VA 22201

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

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

3040 Williams Dr
Ste 100
Fairfax, VA 22031

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 310
Leesburg, VA 20176

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

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

2280 Opitz Blvd
#130
Woodbridge, VA 22191
Phone (703) 897-5358

Interoperability endpoints

  • Direct secure messaging: julie.park@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 1

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1235320516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 WILLIAMS DR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314618",
            "telephone_number": "571-350-8400",
            "fax_number": "703-437-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR STE 460",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905901",
            "telephone_number": "571-222-2200",
            "fax_number": "712-222-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JULIE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "456035ZAN3",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235320516",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julie.park@vcs.ikm.direct-ci.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging for Providers",
            "affiliationName": "Virginia Cancer Specialists, P.C.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Electronic Health Record",
            "address_1": "1860 Town Center Dr Ste 460",
            "city": "Reston",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201905901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.