Individual provider Active NPI

Janet Perrotta, NP

  • Family Nurse Practitioner
  • Ashburn, VA
National Provider Identifier
1306371646
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024181498 Issued in VA
Practice address
21035 Sycolin Road, Suite 180
Ashburn, VA 20147-4311
Phone
(703) 783-5673
Fax
(703) 297-3919
NPI assigned
Apr 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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 112166 NE
Family Nurse Practitioner 363LF0000X 0024181498 VA Primary

Addresses

Primary practice location

21035 Sycolin Road, Suite 180
Ashburn, VA 20147-4311

Mailing address

224 D Cornwall Street NW
Ste 403
Leesburg, VA 20176-2704
Phone (703) 737-6010

Other identifiers 2

IdentifierTypeStateIssuer
1306371646MedicaidVA
30017815330001MedicaidVA

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
I20240423000935 VA Practitioner - Nurse Practitioner 4880033976 Reassigns benefits to 1 organization
I20240516004253 DC Practitioner - Nurse Practitioner 4880033976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loudoun Medical Group, PCGroup PAC ID 0042119661, 272 clinicians

Practice addresses (Care Compare)

1313 Dolley Madison Blvd
Suite 104
MC Lean, VA 22101-3926
Phone (703) 783-5673

21035 Sycolin Rd
Suite 180
Ashburn, VA 20147-4098
Phone (703) 783-5673

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112166NEMDFamily Nurse Practitioner
0024181498VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Medical Group, PC CurrentSince Jun 1, 2024 Accepting new patients
Loudoun Medical Group, PC Current Accepting new patients
Loudoun Medical Group, PC CurrentSince Apr 1, 2024 Accepting new patients
Loudoun Medical Group, PC CurrentSince Apr 1, 2024 Accepting new patients

Locations

6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700

21035 Sycolin Rd
Ste 180
Ashburn, VA 20147
Phone (703) 783-5673

20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652

7564 Gardner Park Dr
Gainesville, VA 20155
Phone (571) 561-3400

224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001

1313 Dolley Madison Blvd
Ste 104
McLean, VA 22101
Phone (703) 263-8282

6 Pidgeon Hill Dr
Ste 205
Sterling, VA 20165
Phone (703) 444-7234

Interoperability endpoints

  • Direct secure messaging: janet.perrotta@lmg1.eclinicaldirectplus.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": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1306371646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 D CORNWALL STREET NW",
            "address_2": "STE 403",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "703-737-6010",
            "fax_number": "703-443-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21035 SYCOLIN ROAD, SUITE 180",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474311",
            "telephone_number": "703-783-5673",
            "fax_number": "703-297-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERROTTA",
        "first_name": "JANET",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112166",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024181498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306371646",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017815330001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.