Individual provider Active NPI

Nanah Sheriff Sesay, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1306171145
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AC0002940 Issued in MD
Practice address
2300 Optiz Blvd
Woodbridge, VA 22191
Phone
(703) 523-1000
Fax
(703) 354-4919
NPI assigned
Oct 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024168060 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC0002940 MD Primary

Addresses

Primary practice location

2300 Optiz Blvd
Woodbridge, VA 22191

Mailing address

7331 Crestleigh Circle
Alexandria, VA 22315
Phone (571) 277-3500

Other practice location 1

7 Saint Paul St Ste 820
Baltimore, MD 21202-1681
Phone (800) 370-3651

Other names 1

  • Nanah Sheriff Sesay Other name

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
I20121011000818 VA Practitioner - Nurse Practitioner 9830348630 Reassigns benefits to 2 organizations
I20141219000696 DC Practitioner - Nurse Practitioner 9830348630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prince William County Community Services BoardGroup PAC ID 7113912973, 57 clinicians

Practice addresses (Care Compare)

7969 Ashton Ave
Manassas, VA 20109-2885
Phone (703) 792-7800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC0002940MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Oct 6, 2014 Accepting new patients
Prince William County CurrentSince Mar 20, 2023 Accepting new patients
Inova Health Care Services CurrentSince Oct 6, 2014 Accepting new patients
Prince William County Community Services Board CurrentSince Mar 20, 2023 Accepting new patients

Locations

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

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

7969 Ashton Ave
Manassas, VA 20109
Phone (703) 792-7826

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

14011 Worth Ave
Ste 110
Woodbridge, VA 22192

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.nanahsesay@149037.advancedmd-direct.com

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": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1306171145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 CRESTLEIGH CIRCLE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22315",
            "telephone_number": "571-277-3500",
            "fax_number": "703-354-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 OPTIZ BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22191",
            "telephone_number": "703-523-1000",
            "fax_number": "703-354-4919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Saint Paul St Ste 820",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212021681",
            "country_code": "US",
            "telephone_number": "800-370-3651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SESAY",
        "first_name": "NANAH",
        "middle_name": "SHERIFF",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168060",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC0002940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANAH",
            "last_name": "SESAY",
            "middle_name": "SHERIFF",
            "credential": "FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.