Individual provider Active NPI

Reidun Dare, FNP-BC

  • Family Nurse Practitioner
  • Arlington, VA
National Provider Identifier
1407370034
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024175149 Issued in VA
Practice address
1469 28TH St S Apt 8
Arlington, VA 22206-3726
Phone
(301) 302-2780
NPI assigned
Jul 26, 2017
Last updated
Sep 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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 0024175149 VA Primary

Addresses

Primary practice location

1469 28TH St S Apt 8
Arlington, VA 22206-3726

Mailing address

9644 Gambrill Park Rd
Frederick, MD 21702-1512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20171127001947 DC Practitioner - Nurse Practitioner 3870850027 Reassigns benefits to 3 organizations
I20200825002687 VA Practitioner - Nurse Practitioner 3870850027 Reassigns benefits to 3 organizations
I20250410001952 MD Practitioner - Nurse Practitioner 3870850027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Five Star Home Health Care LLCGroup PAC ID 2264604495, 2 clinicians
Genesis Physiatry Consultants LLCGroup PAC ID 5698130771, 7 clinicians

Practice addresses (Care Compare)

14420 Albemarle Point PL
Suite 150
Chantilly, VA 20151-1690
Phone (703) 436-0150

14906 Richmond Hwy
Woodbridge, VA 22191-4016
Phone (732) 986-3795

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Hospice Services LLC CurrentSince Oct 11, 2023 Accepting new patients
HCR Manorcare Medical Services of Florida LLC CurrentSince Jul 10, 2018 Accepting new patients
Comprehensive Rehab Consultants PLLC Family CurrentSince Mar 27, 2025 Accepting new patients
American Wound Care PC PastSince Apr 9, 2024 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

3800 Lottsford Vista Rd
#A
Mitchellville, MD 20721
Phone (301) 459-4700

2101 Fairland Rd
Silver Spring, MD 20904
Phone (301) 384-6161

L2540
Columbus, OH 43260

1510 Collingwood Rd
Alexandria, VA 22308
Phone (703) 765-6107

493 Blackwell Rd
Ste 319
Warrenton, VA 20186
Phone (540) 349-3970

Interoperability endpoints

  • Direct secure messaging: reidun.dare.1@7789.direct.athenahealth.com

Organizations & group practices 7

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": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1407370034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9644 GAMBRILL PARK RD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217021512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 28TH ST S APT 8",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063726",
            "telephone_number": "301-302-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARE",
        "first_name": "REIDUN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.