Active NPI
Megan E McInnis, CNP
- Pediatrics Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0024165879
- Practice address
- 3020 Hamaker CT Ste 300
Fairfax, VA 22031-2220 - Phone
- (703) 876-2788
- NPI assigned
- Apr 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024165879 | VA | |
| Pediatrics Physician | 208000000X | 0024165879 | VA | Primary |
Addresses
Primary practice location
3020 Hamaker CT Ste 300
Fairfax, VA 22031-2220
Mailing address
3023 Hamaker CT Ste 300
Fairfax, VA 22031-2240
Phone (703) 876-2788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024165879 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Specialists of Virginia, LLC | Pediatrics | Current | Accepting new patients |
| Inova Health Care Services | Pediatrics | Past | Accepting new patients |
Locations
43490 Yukon Dr
Ste 204
Ashburn, VA 20147
Phone (571) 665-6960
3023 Hamaker Ct
Ste 300
Fairfax, VA 22031
Phone (703) 848-6627
3023 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (571) 226-8380
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
14904 Richmond Hwy
Woodbridge, VA 22191
Phone (703) 494-1766
Interoperability endpoints
- mmcinnis220514@soc.inova.org
Organizations & group practices 2
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": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1316112972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3023 HAMAKER CT STE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312240",
"telephone_number": "703-876-2788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 HAMAKER CT STE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312220",
"telephone_number": "703-876-2788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINNIS",
"first_name": "MEGAN",
"middle_name": "E",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-24",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024165879",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0024165879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.