Individual provider Active NPI

Rosalyn Yvette Sneed, FNP

  • Family Nurse Practitioner
  • Reston, VA
National Provider Identifier
1396277935
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024174711 Issued in VA
Practice address
11160 S Lakes Dr
Reston, VA 20191-4327
Phone
(703) 620-6585
NPI assigned
Apr 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024174711 VA Primary

Addresses

Primary practice location

11160 S Lakes Dr
Reston, VA 20191-4327

Mailing address

11160 S Lakes Dr
Reston, VA 20191-4327

Other identifiers 1

IdentifierTypeStateIssuer
1396277935MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MI, FL, SC, KY, CA6 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20200217003432 VA Practitioner - Nurse Practitioner 2062848716
I20230823004259 MI Practitioner - Nurse Practitioner 2062848716 Reassigns benefits to 1 organization
I20240409002307 FL Practitioner - Nurse Practitioner 2062848716 Reassigns benefits to 1 organization
I20240501000856 SC Practitioner - Nurse Practitioner 2062848716 Reassigns benefits to 1 organization
I20250218001250 KY Practitioner - Nurse Practitioner 2062848716 Reassigns benefits to 1 organization
I20250505000825 CA Practitioner - Nurse Practitioner 2062848716 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Health Plan of California, Inc. CurrentSince Apr 23, 2025 Accepting new patients
Molina Healthcare of California CurrentSince Apr 23, 2025 Accepting new patients
Masud Baksh MD LLC PastSince Oct 22, 2023 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

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.

NPI Registry JSON

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

{
    "created_epoch": "1491091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1396277935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 S LAKES DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201914327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 S LAKES DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201914327",
            "telephone_number": "703-620-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEED",
        "first_name": "ROSALYN",
        "middle_name": "YVETTE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-02",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396277935",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.