Active NPI
Anna Wilson
- Psychiatric/Mental Health Nurse Practitioner
- South Riding, VA
National Provider Identifier
1356843502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024175929
- Practice address
- 43130 Amberwood PLZ Ste 140
South Riding, VA 20152-4107 - Phone
- (703) 348-0030
- NPI assigned
- Mar 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024175929 | VA | Primary |
Addresses
Primary practice location
43130 Amberwood PLZ Ste 140
South Riding, VA 20152-4107
Mailing address
43130 Amberwood PLZ Ste 140
South Riding, VA 20152-4107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024175929 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520121600000",
"number": "1356843502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43130 AMBERWOOD PLZ STE 140",
"city": "SOUTH RIDING",
"state": "VA",
"postal_code": "201524107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43130 AMBERWOOD PLZ STE 140",
"city": "SOUTH RIDING",
"state": "VA",
"postal_code": "201524107",
"telephone_number": "703-348-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ANNA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-04",
"last_updated": "2018-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024175929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Riding, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.