Individual provider Active NPI

Loren Anne Ray Tyson, NURSE PRACTITIONER

  • Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1295724276
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024170891 Issued in VA
Practice address
8280 Willow Oaks Corporate Dr Ste 100
Fairfax, VA 22031-4517
Phone
(703) 269-3270
Fax
(703) 269-3271
NPI assigned
Oct 21, 2005
Last updated
Apr 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024170891 VA
Nurse Practitioner 363L00000X 0024170891 VA Primary
Adult Health Nurse Practitioner 363LA2200X 26NJ00060800 NJ

Addresses

Primary practice location

8280 Willow Oaks Corporate Dr Ste 100
Fairfax, VA 22031-4517

Mailing address

10527 Reeds Landing Cir
Burke, VA 22015-2513
Phone (201) 232-5162

Other practice location 1

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

Other practice location 2

8505 Arlington Blvd, Suite 320
Inova Cardiac Diagnostic Services
Fairfax, VA 22031
Phone (201) 232-5162

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lraytyson102088@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services
Direct Messaging Address lraytyson102088@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20131127001090 DC Practitioner - Nurse Practitioner 5395732846 Reassigns benefits to 2 organizations
I20150617002968 VA Practitioner - Nurse Practitioner 5395732846 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
302585NYMDAddiction Psychiatry Physician
0024170891VAMDNurse Practitioner
26NJ00060800NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince May 5, 2026 Accepting new patients
Inova Health Care Services CurrentSince Mar 22, 2015 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Aug 2, 2022 Accepting new patients
Murray Hill Medical Group PC Past Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

8280 Willow Oaks Corporate Dr
Ste 100
Fairfax, VA 22031
Phone (571) 472-8978

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

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

Interoperability endpoints

  • Direct secure messaging: lraytyson102088@soc.inova.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1295724276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10527 REEDS LANDING CIR",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152513",
            "telephone_number": "201-232-5162",
            "fax_number": "703-289-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8280 WILLOW OAKS CORPORATE DR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314517",
            "telephone_number": "703-269-3270",
            "fax_number": "703-269-3271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Joseph Siewick Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331709",
            "country_code": "US",
            "telephone_number": "703-391-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8505 Arlington Blvd, Suite 320",
            "address_2": "Inova Cardiac Diagnostic Services",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "22031",
            "country_code": "US",
            "telephone_number": "201-232-5162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY TYSON",
        "first_name": "LOREN",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024170891",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024170891",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00060800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lraytyson102088@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": "8505 Arlington Blvd, Suite 320",
            "address_2": "Inova Cardiac Diagnostic Services",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lraytyson102088@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": "3600 Joseph Siewick Dr",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220331709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.