Active NPI
Jennifer Sholtis, NP
- Family Nurse Practitioner
- Fredericksburg, VA
National Provider Identifier
1285191007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024176973
- Practice address
- 10009 Southpoint Pkwy
Fredericksburg, VA 22407-2709 - Phone
- (540) 898-6600
- Fax
- (540) 898-9400
- NPI assigned
- Feb 28, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024176973 | VA | Primary |
Addresses
Primary practice location
10009 Southpoint Pkwy
Fredericksburg, VA 22407-2709
Mailing address
PO Box 3910
Fredericksburg, VA 22402-3910
Phone (540) 785-9900
Other practice location 1
231 Garrisonville Rd Ste 101
Stafford, VA 22554-1604
Phone (540) 288-9888
Other practice location 2
2306 Plank Rd Ste 100
Fredericksburg, VA 22401-4902
Phone (540) 785-9900
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 |
|---|---|---|---|
| 0024176973 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary and Urgent Care LLC | Past | Accepting new patients | |
| Primary and Urgent Care LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/18689/brand/1/csg/1/fhir/r4
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.
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1043563174
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1922579630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1285191007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3910",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224023910",
"telephone_number": "540-785-9900",
"fax_number": "540-785-9960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10009 SOUTHPOINT PKWY",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224072709",
"telephone_number": "540-898-6600",
"fax_number": "540-898-9400"
}
],
"practiceLocations": [
{
"address_1": "231 Garrisonville Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Stafford",
"state": "VA",
"postal_code": "225541604",
"country_code": "US",
"telephone_number": "540-288-9888",
"fax_number": "540-288-0054",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2306 Plank Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Fredericksburg",
"state": "VA",
"postal_code": "224014902",
"country_code": "US",
"telephone_number": "540-785-9900",
"fax_number": "540-785-9960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHOLTIS",
"first_name": "JENNIFER",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-28",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024176973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.