Individual provider Active NPI

Nicole Theresa Layman, RN

  • Acute Care Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1407369374
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024175581 Issued in VA
Practice address
2280 Opitz Blvd
Woodbridge, VA 22191-3362
Phone
(703) 580-0436
NPI assigned
Nov 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X R126918 MD
Acute Care Nurse Practitioner 363LA2100X R126918 MD
Acute Care Nurse Practitioner 363LA2100X 0024175581 VA Primary

Addresses

Primary practice location

2280 Opitz Blvd
Woodbridge, VA 22191-3362

Mailing address

45664 Rutherford Blvd
Great Mills, MD 20634-2366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200818000976 VA Practitioner - Nurse Practitioner 4385060698 Reassigns benefits to 2 organizations
I20200924003525 DC Practitioner - Nurse Practitioner 4385060698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Alliance Medical Team LLCGroup PAC ID 9133652852, 16 clinicians
Virginia Critical Care PLLCGroup PAC ID 7315328523, 3 clinicians

Practice addresses (Care Compare)

14906 Richmond Hwy
Woodbridge, VA 22191-4016
Phone (609) 335-6595

2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone (571) 481-2442

2729 King St
Alexandria, VA 22302-4008
Phone (609) 335-6595

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R126918MDMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Medical Team LLC CurrentSince Oct 20, 2025 Accepting new patients
Virginia Critical Care PLLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

2729 King St
Alexandria, VA 22302
Phone (703) 744-0155

2715 Dogtown Rd
Goochland, VA 23063
Phone (609) 335-6595

10716 Richmond Hwy
Ste 204
Lorton, VA 22079

14906 Richmond Hwy
Woodbridge, VA 22191
Phone (609) 335-6595

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1407369374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45664 RUTHERFORD BLVD",
            "city": "GREAT MILLS",
            "state": "MD",
            "postal_code": "206342366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 OPITZ BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913362",
            "telephone_number": "703-580-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYMAN",
        "first_name": "NICOLE",
        "middle_name": "THERESA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MD",
            "license": "R126918",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R126918",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024175581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.