Individual provider Active NPI

Rebekah Lee, NP

  • Adult Health Nurse Practitioner
  • Dulles, VA
National Provider Identifier
1366077604
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024179759 Issued in VA
Practice address
24430 Stone Springs Blvd Unit 200
Dulles, VA 20166-2269
Phone
(571) 367-0000
NPI assigned
Mar 6, 2020
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210715004019 VA Practitioner - Nurse Practitioner 9739581513 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001258298VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
USA Sleep Diagnostic Mobile Service CurrentSince Mar 16, 2021 Accepting new patients
USA Sleep Diagnostic Mobile Services, LLC CurrentSince Mar 16, 2021 Accepting new patients
Nova Pulmonary Critical Care and Sleep Associates, LLC CurrentSince Aug 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6030 Daybreak Cir
Ste A150260
Clarksville, MD 21029

24430 Stone Springs Blvd
Ste 550
Dulles, VA 20166
Phone (703) 726-1300

24430 Stone Springs Blvd
Ste 135
Dulles, VA 20166
Phone (703) 404-5900

19415 Deerfield Ave
Ste 301
Leesburg, VA 20176
Phone (571) 367-0000

800 Corporate Dr
Ste 301
Stafford, VA 22554
Phone (540) 300-5448

24430 Stone Springs Blvd
Ste 200
Sterling, VA 20166
Phone (571) 367-0000

124 Park St SE
Ste 203
Vienna, VA 22180
Phone (301) 461-6961

Interoperability endpoints

  • Direct secure messaging: rebekah.lee.1@15876.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15876/brand/1/csg/1/fhir/r4

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001258298 VA
Adult Health Nurse Practitioner 363LA2200X 0024179759 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

24430 Stone Springs Blvd Unit 200
Dulles, VA 20166-2269

Mailing address

24430 Stone Springs Blvd Unit 200
Dulles, VA 20166-2269

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 27, 2021.

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1366077604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24430 STONE SPRINGS BLVD UNIT 200",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201662269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24430 STONE SPRINGS BLVD UNIT 200",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201662269",
            "telephone_number": "571-367-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "REBEKAH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001258298",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024179759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dulles, VA

Sources for this page

Verify at the official NPI Registry.