Individual provider Active NPI

Donna Cyrus, AGNP

  • Adult Health Nurse Practitioner
  • Alexandria, VA
National Provider Identifier
1285004572
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024172673 Issued in VA
Practice address
50 S Pickett St
Suite 221
Alexandria, VA 22304-7207
Phone
(703) 823-4000
NPI assigned
Sep 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024172673 VA Primary

Addresses

Primary practice location

50 S Pickett St
Suite 221
Alexandria, VA 22304-7207

Mailing address

357 White Cedar Rd
Barboursville, VA 22923-2756
Phone (434) 760-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20170417000604 VA Practitioner - Nurse Practitioner 5294011821 Reassigns benefits to 1 organization
I20180529001508 DC Practitioner - Nurse Practitioner 5294011821 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rebirth Advanced Healing LLC CurrentSince Nov 20, 2023 Accepting new patients
Reverent Medical Group Inc CurrentSince Nov 1, 2017 Accepting new patients

Locations

207 E Main St
Ste 3A2
Johnson City, TN 37604
Phone (833) 870-0904

50 S Pickett St
Ste 221
Alexandria, VA 22304
Phone (703) 751-7331

7120 Braddock Rd
Annandale, VA 22003
Phone (703) 256-9770

3900 Plank Rd
Fredericksburg, VA 22407
Phone (434) 760-0404

623 Emancipation Hwy
#101
Fredericksburg, VA 22401
Phone (800) 452-5574

8575 Rixlew Ln
Manassas, VA 20109
Phone (703) 257-9770

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19349/brand/1/csg/1/fhir/r4
  • Direct secure messaging: donna.cyrus@897112813207556.direct.elationemr.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1285004572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 WHITE CEDAR RD",
            "city": "BARBOURSVILLE",
            "state": "VA",
            "postal_code": "229232756",
            "telephone_number": "434-760-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S PICKETT ST",
            "address_2": "SUITE 221",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223047207",
            "telephone_number": "703-823-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYRUS",
        "first_name": "DONNA",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024172673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.