Active NPI
Jeanne Dolores Clarkson, FNP
- Nurse Practitioner
- Dumfries, VA
National Provider Identifier
1326018680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN961059
- Practice address
- 700 Fettler Park
Dumfries Health Center
Dumfries, VA 22025 - Phone
- (703) 441-7500
- Fax
- (703) 576-1413
- NPI assigned
- Jan 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN961059 | DC | Primary |
Addresses
Primary practice location
700 Fettler Park
Dumfries Health Center
Dumfries, VA 22025
Mailing address
3700 Fettler Park
Dumfries Health Center
Dumfries, VA 22025
Phone (703) 441-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130417000071 | VA | Order and Referring Only - Nurse Practitioner | 1557542628 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367193600000",
"number": "1326018680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 FETTLER PARK",
"address_2": "DUMFRIES HEALTH CENTER",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "22025",
"telephone_number": "703-441-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 FETTLER PARK",
"address_2": "DUMFRIES HEALTH CENTER",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "22025",
"telephone_number": "703-441-7500",
"fax_number": "703-576-1413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKSON",
"first_name": "JEANNE",
"middle_name": "DOLORES",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2013-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DC",
"license": "RN961059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dumfries, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.