Individual provider Active NPI

Brenda Herrera, FNP-C

  • Primary Care Nurse Practitioner
  • Sterling, VA
National Provider Identifier
1376934455
Registry record updated Jan 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0024172351 Issued in VA
Practice address
403 Glenn Dr Ste 11
Sterling, VA 20164-4472
Phone
(703) 646-9974
Fax
(703) 646-9975
NPI assigned
Feb 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024172351 VA
Primary Care Nurse Practitioner 363LP2300X 0024172351 VA Primary
Adult Health Nurse Practitioner 363LA2200X 0024172351 VA

Addresses

Primary practice location

403 Glenn Dr Ste 11
Sterling, VA 20164-4472

Mailing address

403 Glenn Dr Ste 11
Sterling, VA 20164-4472
Phone (703) 646-9974

Other practice location 1

5645 Stone Rd
Centreville, VA 20120-1618
Phone (703) 266-2442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2022 through Oct 1, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024172351VAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
You Matter Primary Care, LLC CurrentSince May 8, 2022 Accepting new patients

Locations

403 Glenn Dr
Ste 11
Sterling, VA 20164
Phone (703) 574-6212

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26451/brand/1/csg/1/fhir/r4
  • Direct secure messaging: brenda.herrera.1@26451.direct.athenahealth.com

Organizations & group practices 1

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": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674345600000",
    "number": "1376934455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 GLENN DR STE 11",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201644472",
            "telephone_number": "703-646-9974",
            "fax_number": "703-646-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 GLENN DR STE 11",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201644472",
            "telephone_number": "703-646-9974",
            "fax_number": "703-646-9975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5645 Stone Rd",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "VA",
            "postal_code": "201201618",
            "country_code": "US",
            "telephone_number": "703-266-2442",
            "fax_number": "703-266-7158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "BRENDA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2023-01-22",
        "certification_date": "2023-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172351",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024172351",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024172351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

Verify at the official NPI Registry.