Individual provider Active NPI

Brennah Katherine Lee, PA-C

  • Physician Assistant
  • Ashburn, VA
National Provider Identifier
1235818634
Registry record updated Jul 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110009417 Issued in VA
Practice address
20905 Professional PLZ Ste 330
Ashburn, VA 20147-3409
Phone
(703) 726-0003
NPI assigned
Jul 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110009417 VA Primary

Addresses

Primary practice location

20905 Professional PLZ Ste 330
Ashburn, VA 20147-3409

Mailing address

21003 Rostormel CT
Ashburn, VA 20147-4782
Phone (703) 629-7155

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250815003901 VA Practitioner - Physician Assistant 5092257758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairfax Family Practice Centers PCGroup PAC ID 4082513031, 106 clinicians

Practice addresses (Care Compare)

20905 Professional PLZ
Suite 330
Ashburn, VA 20147-3409
Phone (703) 726-0003

22895 Brambleton PLZ
Suite 200
Brambleton, VA 20148-4878
Phone (703) 481-1505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110009417VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Physician Partners, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: blee1124746@soc.inova.org

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": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751673600000",
    "number": "1235818634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21003 ROSTORMEL CT",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474782",
            "telephone_number": "703-629-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 PROFESSIONAL PLZ STE 330",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473409",
            "telephone_number": "703-726-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BRENNAH",
        "middle_name": "KATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2025-07-05",
        "certification_date": "2025-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110009417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.