Jennifer Marie Aube, MMS, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110005857 Issued in VA

Practice address

19441 Golf Vista PLZ Ste 230&310
Leesburg, VA 20176-8269

Phone

(703) 729-3420

NPI assigned

Jul 20, 2017

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 names 1

• Jennifer Marie Via Former name

Electronic endpoints 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Page Memorial Hospital, Inc.

  • Critical Access Hospital
  • Luray, VA
  • NPI 1326040684
  Medicare reassignment NPD (past)
• Page Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Front Royal, VA
  • NPI 1083236970
  NPD
• Digestive Disease Physicians, P.C.

  • Gastroenterology Physician
  • Alexandria, VA
  • NPI 1750500724
  NPD (past)

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1336662402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224D CORNWALL ST NW STE 403",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "703-737-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19441 GOLF VISTA PLZ STE 230&310",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768269",
            "telephone_number": "703-729-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUBE",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "MMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110005857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaube312954@soc.inova.org",
            "affiliation": "N",
            "address_1": "250 Memorial Dr",
            "city": "Luray",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228351000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaube312954@soc.inova.org",
            "affiliation": "N",
            "address_1": "135 Memorial Dr",
            "city": "Luray",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228351016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "VIA",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Medical Physician Assistant in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.

Verify at the official NPI Registry.