Active NPI
Odontuya N/a Dovdon
- Family Nurse Practitioner
- Dumfries, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024185037
- Practice address
- 3700 Fettler Park Dr
Dumfries, VA 22025-2050 - Phone
- (703) 441-7500
- NPI assigned
- Sep 12, 2022
- 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 | 0024185037 | VA | Primary |
Addresses
Primary practice location
3700 Fettler Park Dr
Dumfries, VA 22025-2050
Mailing address
3700 Fettler Park Dr
Dumfries, VA 22025-2050
Phone (703) 441-7500
Other practice location 1
12253 Fairfield House Dr Apt 408
Fairfax, VA 22033-3972
Phone (703) 887-2811
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024185037 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of Virginia LLC | Family | Current | Accepting new patients |
Locations
1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687
1200 Edwards Ferry Rd NE
Leesburg, VA 20176
Phone (703) 737-6431
19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1336861988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 FETTLER PARK DR",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220252050",
"telephone_number": "703-441-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 FETTLER PARK DR",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220252050",
"telephone_number": "703-441-7500"
}
],
"practiceLocations": [
{
"address_1": "12253 Fairfield House Dr Apt 408",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220333972",
"country_code": "US",
"telephone_number": "703-887-2811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOVDON",
"first_name": "ODONTUYA",
"middle_name": "N/A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-12",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024185037",
"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 Mar 3, 2026; 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.