Individual provider Active NPI

Jocelyn Marie Smith, FNP

  • Family Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1417387101
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024174888 Issued in VA
Practice address
13135 Lee Jackson Memorial Hwy
Fairfax, VA 22033-1907
Phone
(703) 961-0488
Fax
(703) 961-9103
NPI assigned
Nov 18, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18564 SC
Family Nurse Practitioner 363LF0000X 0024174888 VA Primary
Primary Care Nurse Practitioner 363LP2300X RN2297829 MA

Addresses

Primary practice location

13135 Lee Jackson Memorial Hwy
Fairfax, VA 22033-1907

Mailing address

13135 Lee Jackson Memorial Hwy Ste 135
Fairfax, VA 22033-1907
Phone (703) 961-0488

Other practice location 1

25 Marston Street
Suite 403
Lawrence, MA 01841
Phone (978) 686-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180105001188 DC Practitioner - Nurse Practitioner 5395062491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Northern Virginia IncGroup PAC ID 4587566138, 15 clinicians

Practice addresses (Care Compare)

13135 Lee Jackson Hwy
Suite 135
Fairfax, VA 22033-1907
Phone (703) 476-1740

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18564SCMDFamily Nurse Practitioner
0024174888VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Northern Virginia, Inc CurrentSince Oct 1, 2017 Accepting new patients
Landman Steward LLC CurrentSince Feb 8, 2017 Accepting new patients

Locations

25 Marston St
Ste 403
Lawrence, MA 01841
Phone (978) 247-8905

13135 Route 50
Fairfax, VA 22033
Phone (703) 391-0900

13135 Route 50
Ste 135
Fairfax, VA 22033
Phone (703) 961-0488

8501 Arlington Blvd
Ste 100
Fairfax, VA 22031
Phone (703) 876-8445

8405 Dorsey Cir
Ste 102
Manassas, VA 20110
Phone (703) 208-0820

46396 Benedict Dr
Ste 220
Sterling, VA 20164

2751 Killarney Dr
Woodbridge, VA 22192
Phone (703) 897-7027

Interoperability endpoints

  • Direct secure messaging: jocelyn.smith@direct.davitaphysiciansolutions.com

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

Hospital & facility affiliations 2

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": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417387101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13135 LEE JACKSON MEMORIAL HWY STE 135",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331907",
            "telephone_number": "703-961-0488",
            "fax_number": "703-961-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13135 LEE JACKSON MEMORIAL HWY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331907",
            "telephone_number": "703-961-0488",
            "fax_number": "703-961-9103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Marston Street",
            "address_2": "Suite 403",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "MA",
            "postal_code": "01841",
            "country_code": "US",
            "telephone_number": "978-686-2400",
            "fax_number": "978-685-4151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOCELYN",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18564",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174888",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2297829",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.