Individual provider Active NPI

Rebekah Stokes, PA-C

  • Physician Assistant
  • Alexandria, VA
National Provider Identifier
1285765743
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110001424 Issued in VA
Practice address
4660 Kenmore Ave Ste 305
Alexandria, VA 22304-1306
Phone
(703) 751-5763
Fax
(703) 370-8704
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110001424 VA
Medical Physician Assistant 363AM0700X PA030834 DC
Physician Assistant 363A00000X 0110001424 VA Primary

Addresses

Primary practice location

4660 Kenmore Ave Ste 305
Alexandria, VA 22304-1306

Mailing address

14904 Richmond Hwy Ste 103
Woodbridge, VA 22191-3908

Other practice location 1

14904 Jefferson Davis Hwy
Suite 103
Woodbridge, VA 22191-3908
Phone (703) 497-4222

Other identifiers 1

IdentifierTypeStateIssuer
1285765743MedicaidVA

Other names 1

  • Rebekah Euliano Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080507000110 DC Practitioner - Physician Assistant 2860570496 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA030834DCMDMedical Physician Assistant
0110001424VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MGMC, LLC CurrentSince Jul 9, 2012 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3800 Reservoir Rd NW
#2
Washington, DC 20007
Phone (202) 444-7254

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

Organizations & group practices 4

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1285765743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14904 RICHMOND HWY STE 103",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE STE 305",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041306",
            "telephone_number": "703-751-5763",
            "fax_number": "703-370-8704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14904 Jefferson Davis Hwy",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913908",
            "country_code": "US",
            "telephone_number": "703-497-4222",
            "fax_number": "703-492-0164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOKES",
        "first_name": "REBEKAH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110001424",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DC",
            "license": "PA030834",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285765743",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "EULIANO",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.