Individual provider Active NPI

Mary Anest, FNP-BC

  • Family Nurse Practitioner
  • Broadlands, VA
National Provider Identifier
1396904199
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024167808 Issued in VA
Practice address
42882 Truro Parish Dr
Suite 201
Broadlands, VA 20148-4456
Phone
(703) 729-1660
NPI assigned
Jun 5, 2008
Last updated
Jun 5, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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 0024167808 VA Primary

Addresses

Primary practice location

42882 Truro Parish Dr
Suite 201
Broadlands, VA 20148-4456

Mailing address

42882 Truro Parish Dr
Suite 201
Broadlands, VA 20148-4456
Phone (703) 729-1660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0024167808VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashburn Medical Center PC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1396904199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42882 TRURO PARISH DR",
            "address_2": "SUITE 201",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201484456",
            "telephone_number": "703-729-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42882 TRURO PARISH DR",
            "address_2": "SUITE 201",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201484456",
            "telephone_number": "703-729-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANEST",
        "first_name": "MARY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024167808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadlands, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.