Active NPI
Nicole Theresa Layman, RN
- Acute Care Nurse Practitioner
- Woodbridge, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 0024175581
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| R126918 | MD | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Medical Team LLC | Current | Accepting new patients | |
| Virginia Critical Care PLLC | Current | 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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Lorton, VA
- NPI 1053067348
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sentara Northern Virginia Medical Center
- General Acute Care Hospital
- Woodbridge, VA
- NPI 1548366404
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.