Individual provider Active NPI

Alexandra Skinner

  • Critical Care Medicine Nurse Practitioner
  • Manassas, VA
National Provider Identifier
1356974422
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
0024178876 Issued in VA
Practice address
8700 Sudley Rd
Manassas, VA 20110-4418
Phone
(703) 396-5292
NPI assigned
Feb 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LC0200X 0024178876 VA Primary

Addresses

Primary practice location

8700 Sudley Rd
Manassas, VA 20110-4418

Mailing address

PO Box 748613
Atlanta, GA 30384-8613

Other practice location 1

110 Irving St NW Rm 4B-42
Washington, DC 20010-3017
Phone (202) 877-7259

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ASKINNER788960@DIRECT.NOVANTHEALTH.ORG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200408001996 VA Practitioner - Nurse Practitioner 4981033297 Reassigns benefits to 1 organization
I20200622000391 DC Practitioner - Nurse Practitioner 4981033297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uva Community Health Medical Group LLCGroup PAC ID 4688587967, 339 clinicians

Practice addresses (Care Compare)

8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 396-5292

Hospital & facility affiliations

  • Uva Health Prince William Medical Center Hospital, Manassas, VA, CCN 490045
  • Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Hospital Center Corp Single Specialty CurrentSince Jun 1, 2020 Accepting new patients
Washington Hospital Center Corp Single Specialty Current Accepting new patients
Uva Community Health Medical Group, LLC Single Specialty CurrentSince Mar 1, 2020 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Washington Hospital Center Corp Single Specialty CurrentSince Jun 1, 2020 Accepting new patients
Uva Community Health Medical Group, LLC Past Accepting new patients

Locations

110 Irving St NW
Rm 4B42
Washington, DC 20010
Phone (202) 877-2000

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

Interoperability endpoints

  • Direct secure messaging: askinner788960@direct.novanthealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1356974422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748613",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104418",
            "telephone_number": "703-396-5292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Irving St NW Rm 4B-42",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200103017",
            "country_code": "US",
            "telephone_number": "202-877-7259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "VA",
            "license": "0024178876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ASKINNER788960@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "110 Irving St NW Rm 4B-42",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200103017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.