Active NPI
Jennifer B. Durham, NP
- Nurse Practitioner
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024119682
- Practice address
- 11800 Sunrise Valley Dr Ste 500
Reston, VA 20191-5303 - Phone
- (703) 437-5977
- Fax
- (703) 478-2475
- NPI assigned
- Jun 3, 2006
- Last updated
- Jul 14, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024119682 | VA | Primary |
Addresses
Primary practice location
11800 Sunrise Valley Dr Ste 500
Reston, VA 20191-5303
Mailing address
2901 Telestar CT.
#300
Falls Church, VA 22042-1261
Phone (703) 591-1688
Other practice location 1
1850 Town Center Pkwy Ste 550
Reston, VA 20190-3300
Phone (703) 437-5977
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457399206 | Medicaid | VA | |
| P01300807 | Other | DC | RAILROAD MEDICARE PIN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdurham27404@soc.inova.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- 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, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 Gallows Rd
Falls Church, VA 22042-3307
44035 Riverside Pkwy
Leesburg, VA 20176-8260
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.36 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cardiovascular Group, PC | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients |
Locations
2901 Telestar Ct
Ste 300
Falls Church, VA 22042
Phone (703) 591-1688
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
44035 Riverside Pkwy
Ste 400
Leesburg, VA 20176
Phone (703) 858-5421
120B N Maple Ave
Purcellville, VA 20132
Phone (703) 723-8664
11800 Sunrise Valley Dr
Ste 500
Reston, VA 20191
Phone (703) 437-5977
1850 Town Center Pkwy
Ste 550
Reston, VA 20190
Phone (703) 437-5977
1900 Gallows Rd
Ste 110
Vienna, VA 22182
Phone (703) 281-1265
Organizations & group practices 4
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.
-
dba Virginia Heart
- Cardiovascular Disease Physician
- Vienna, VA
- NPI 1366498933
DC
-
dba Inova Juniper Program
- Multi-Specialty Clinic/Center
- Fairfax, VA
- NPI 1669511051
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Loudoun Hospital
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
dba Inova Loudoun Hospital
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
dba Inova Fairfax Hospital
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
dba Inova Fair Oaks Hospital
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
-
dba Inova Fairfax Hospital
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
dba Reston Hospital Center
- General Acute Care Hospital
- Reston, VA
- NPI 1053363853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1457399206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 TELESTAR CT.",
"address_2": "#300",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220421261",
"telephone_number": "703-591-1688",
"fax_number": "703-591-1445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 SUNRISE VALLEY DR STE 500",
"city": "RESTON",
"state": "VA",
"postal_code": "201915303",
"telephone_number": "703-437-5977",
"fax_number": "703-478-2475"
}
],
"practiceLocations": [
{
"address_1": "1850 Town Center Pkwy Ste 550",
"address_purpose": "LOCATION",
"city": "Reston",
"state": "VA",
"postal_code": "201903300",
"country_code": "US",
"telephone_number": "703-437-5977",
"fax_number": "703-478-2475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURHAM",
"first_name": "JENNIFER",
"middle_name": "B.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024119682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457399206",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "P01300807",
"state": "DC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdurham27404@soc.inova.org",
"affiliation": "N",
"address_1": "11800 Sunrise Valley Dr Ste 500",
"city": "Reston",
"state": "VA",
"country_code": "US",
"postal_code": "201915303",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.