Jordyn Wiesbock

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0001260643 Issued in VA

Practice address

1860 Town Center Dr
Reston, VA 20190-5896

Phone

(571) 201-8238

NPI assigned

Jul 21, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1417878158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9875 RAINLEAF CT",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201362416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905896",
            "telephone_number": "571-201-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESBOCK",
        "first_name": "JORDYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001260643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison G White, OD
• Carey Christen White, MPT,DPT
• Nancy Whiteley, LPC
• Ryan Wiatrowski, CRNA
• Marissa Raja Wiegand, NP
• Colleen Joyce Wildenhain, MS, ATC
• Alisa Wiles, PH.D.
• Brian Scott Wiley, M.A.
• Deondra Rashawn Wilkins, RESIDENT IN COUNS
• Susan Wilkinson, CRNA

• Registered Nurse in Reston, VA
• Providers in Reston, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.