Active NPI
Jennifer Ann Docampo, FNP
- Family Nurse Practitioner
- Falls Church, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024173798
- Practice address
- 2901 Telestar CT Ste 200
Falls Church, VA 22042-1262 - Phone
- (703) 573-3494
- Fax
- (703) 573-5353
- NPI assigned
- Jul 15, 2016
- Last updated
- Aug 27, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024173798 | VA | Primary |
Addresses
Primary practice location
2901 Telestar CT Ste 200
Falls Church, VA 22042-1262
Mailing address
2901 Telestar CT Ste 300
Falls Church, VA 22042-1263
Phone (703) 591-1688
Other practice location 1
2901 Telestar Ct Ste 200
Falls Church, VA 22042-1262
Phone (703) 573-3494
Other practice location 2
4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000
Other practice location 3
1005 N Glebe Rd Ste 750
Arlington, VA 22201-5766
Phone (703) 524-7202
Other practice location 4
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600
Other practice location 5
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001
Other practice location 6
3580 Joseph Siewick Dr Ste 305
Fairfax, VA 22033-1764
Phone (703) 648-3266
Other practice location 7
44045 Riverside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000
Other names 1
- Jennifer Ann Zaklukiewicz
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdocampo800332@soc.inova.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- George Washington University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2901 Telestar CT
Suite 200
Falls Church, VA 22042-1262
Phone (703) 573-3494
3300 Gallows Rd
Falls Church, VA 22042-3307
Hospital & facility affiliations
- Inova Fairfax Hospital
- Inova Loudoun Hospital
- Inova Alexandria Hospital
- Inova Fair Oaks Hospital
- Virginia Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.36 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Hospital Partners L P | Family | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients | |
| District Hospital Partners LP | Family | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients |
Locations
2150 Pennsylvania Ave NW
#4417
Washington, DC 20037
Phone (202) 741-2323
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000
1005 N Glebe Rd
Ste 750
Arlington, VA 22201
Phone (703) 524-7202
3580 Joseph Siewick Dr
Ste 305
Fairfax, VA 22033
Phone (703) 648-3266
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
2901 Telestar Ct
Ste 200
Falls Church, VA 22042
Phone (703) 573-3494
2901 Telestar Ct
Ste 300
Falls Church, VA 22042
Phone (703) 591-1688
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
Interoperability endpoints
- jdocampo800332@soc.inova.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The George Washington University Hospital
- General Acute Care Hospital
- Washington, DC
- NPI 1487640207
Family
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Family Nurse Practitioner
- Washington, DC
- NPI 1912517756
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Alexandria Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
dba Inova Loudoun Hospital
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
dba Inova Loudoun Hospital
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
dba Inova Fairfax Hospital
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
dba Inova Fair Oaks Hospital
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
-
dba Inova Fairfax Hospital
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1326491218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 TELESTAR CT STE 300",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220421263",
"telephone_number": "703-591-1688",
"fax_number": "703-591-1445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 TELESTAR CT STE 200",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220421262",
"telephone_number": "703-573-3494",
"fax_number": "703-573-5353"
}
],
"practiceLocations": [
{
"address_1": "2901 Telestar Ct Ste 200",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220421262",
"country_code": "US",
"telephone_number": "703-573-3494",
"fax_number": "703-573-5353",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4320 Seminary Rd",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223041535",
"country_code": "US",
"telephone_number": "703-504-3000",
"fax_number": "703-504-3388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1005 N Glebe Rd Ste 750",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "222015766",
"country_code": "US",
"telephone_number": "703-524-7202",
"fax_number": "703-516-4501",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3600 Joseph Siewick Dr",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220331709",
"country_code": "US",
"telephone_number": "703-391-3600",
"fax_number": "703-391-3414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3300 Gallows Rd",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220423307",
"country_code": "US",
"telephone_number": "703-776-4001",
"fax_number": "703-776-7113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3580 Joseph Siewick Dr Ste 305",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220331764",
"country_code": "US",
"telephone_number": "703-648-3266",
"fax_number": "703-648-3264",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "44045 Riverside Pkwy",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "VA",
"postal_code": "201765101",
"country_code": "US",
"telephone_number": "703-858-6000",
"fax_number": "703-858-6900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOCAMPO",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-15",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024173798",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdocampo800332@soc.inova.org",
"affiliation": "N",
"address_1": "2901 Telestar Ct Ste 200",
"city": "Falls Church",
"state": "VA",
"country_code": "US",
"postal_code": "220421262",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "ZAKLUKIEWICZ",
"middle_name": "ANN",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.