Active NPI
Ana Raquel Zeballos, F.N.P.
- Family Nurse Practitioner
- Falls Church, VA
National Provider Identifier
1275768608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024173147
- Practice address
- 6400 Arlington Blvd Ste 200
Falls Church, VA 22042-2336 - Phone
- (703) 531-3100
- Fax
- (703) 531-3101
- NPI assigned
- May 29, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AC001616 | MD | |
| Family Nurse Practitioner | 363LF0000X | 0024173147 | VA | Primary |
Addresses
Primary practice location
6400 Arlington Blvd Ste 200
Falls Church, VA 22042-2336
Mailing address
PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699
Other practice location 1
4379 Ridgewood Center Dr Ste 102
Woodbridge, VA 22192-8323
Phone (703) 680-7950
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | azeballos199723@soc.inova.org | Health Information Exchange (HIE) | Inova Health Care Services |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC001616 | MD | MD | Family Nurse Practitioner |
| 0024173147 | VA | MD | Family Nurse Practitioner |
Interoperability endpoints
- ana.zeballos.1@30520.direct.athenahealth.com
- azeballos199723@soc.inova.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1275768608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37174",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973174",
"telephone_number": "571-423-5699",
"fax_number": "571-423-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 ARLINGTON BLVD STE 200",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220422336",
"telephone_number": "703-531-3100",
"fax_number": "703-531-3101"
}
],
"practiceLocations": [
{
"address_1": "4379 Ridgewood Center Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Woodbridge",
"state": "VA",
"postal_code": "221928323",
"country_code": "US",
"telephone_number": "703-680-7950",
"fax_number": "703-680-7953",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZEBALLOS",
"first_name": "ANA",
"middle_name": "RAQUEL",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-29",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "AC001616",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024173147",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "azeballos199723@soc.inova.org",
"affiliation": "Y",
"endpointDescription": "Health Information Exchange",
"affiliationName": "Inova Health Care Services",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "6400 Arlington Blvd Ste 210",
"city": "Falls Church",
"state": "VA",
"country_code": "US",
"postal_code": "220422349",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.