Jennifer Ballard Squires, APRN, BC (NURSEPRACT

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

000121124 Issued in VA

Practice address

8613 Route 29 # 200N
Fairfax, VA 22031-2171

Phone

(571) 350-8400

Fax

(703) 280-9596

NPI assigned

Jun 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

University of North Carolina at Chapel Hill School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virginia Cancer Specialists, P.C.Group PAC ID 2264412485, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jennifer.squires@vcs.ikm.direct-ci.com

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.

• Virginia Cancer Specialists, P.C.

  • Hematology & Oncology Physician
  • Fairfax, VA
  • NPI 1346294519

  DC

  Medicare reassignment Care Compare group
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Monterey Bay Oncology a Medical Corporation

  dba Pacific Cancer Care

  • Hematology & Oncology Physician
  • Monterey, CA
  • NPI 1205007408
  NPD (past)
• Monterey Bay Oncology a Medical Corporation

  dba Pacific Cancer Care

  • Hematology & Oncology Physician
  • Monterey, CA
  • NPI 1972542959
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1306880588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 WILLIAMS DR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314618",
            "telephone_number": "571-350-8400",
            "fax_number": "703-280-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8613 ROUTE 29 # 200N",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312171",
            "telephone_number": "571-350-8400",
            "fax_number": "703-280-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRES",
        "first_name": "JENNIFER",
        "middle_name": "BALLARD",
        "credential": "APRN, BC (NURSEPRACT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "000121124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE",
            "identifier": "0024169800",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA NURSEPRACTIONERLICENSE",
            "identifier": "16322",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "669572",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD NP LICENSE",
            "identifier": "AC000572",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA RN LICENSE",
            "identifier": "0001211124",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.squires@vcs.ikm.direct-ci.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging for Provider",
            "affiliationName": "Virginia Cancer Specialists, P.C.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Electronic Health Record",
            "address_1": "8613 Route 29 # 200N",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220312171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sport and Spine Rehab of Fairfax
• Karen Diane Spradlin, MSW
• Kayla Sprow
• Tori Sprowl
• Stephen G Spurr, M.D.
• Manasa M Sridhar, D.O.
• Erin Killiany St Louis
• Stephen Christopher St Louis, DDS, FAGD
• Stephanie St Peter
• Kyle Andre St. Peter, LAT, ATC

• Family Nurse Practitioner in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.