Active NPI
Jennifer Sicking, CRNA
- Certified Registered Nurse Anesthetist
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024175779
- Practice address
- 44045 Riverside Pkwy
Leesburg, VA 20176-5101 - Phone
- (703) 858-6000
- NPI assigned
- May 15, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001228677 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024175779 | VA | Primary |
Addresses
Primary practice location
44045 Riverside Pkwy
Leesburg, VA 20176-5101
Mailing address
3100 Spring Forest Rd Ste 130
Raleigh, NC 27616-2880
Phone (919) 882-0774
Other practice location 1
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (855) 546-2805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2010 Health Campus Dr
Rockingham, VA 22801-8679
Phone (434) 654-5000
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178
Phone (757) 507-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001228677 | VA | MD | Registered Nurse |
| 0024175779 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| SMG Anesthesia Specialists LLC | Current | Accepting new patients | |
| American Anesthesiology of Virginia PC | Current | Accepting new patients |
Locations
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Virginia Beach, VA
- NPI 1518205004
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harrisonburg, VA
- NPI 1780694372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1366979924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SPRING FOREST RD STE 130",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276162880",
"telephone_number": "919-882-0774",
"fax_number": "844-454-0171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44045 RIVERSIDE PKWY",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201765101",
"telephone_number": "703-858-6000"
}
],
"practiceLocations": [
{
"address_1": "3800 Reservoir Rd NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200072113",
"country_code": "US",
"telephone_number": "855-546-2805",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SICKING",
"first_name": "JENNIFER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-15",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001228677",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024175779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.