Individual provider Active NPI

Teresa T Desanctis, CPNP

  • Pediatric Nurse Practitioner
  • Ashburn, VA
National Provider Identifier
1457524365
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024167670 Issued in VA
Practice address
21785 Filigree CT
Suite 201
Ashburn, VA 20147-6213
Phone
(703) 726-9930
Fax
(703) 723-5778
NPI assigned
Apr 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024167670 VA Primary

Addresses

Primary practice location

21785 Filigree CT
Suite 201
Ashburn, VA 20147-6213

Mailing address

PO Box 17334
Baltimore, MD 21297-1334
Phone (703) 726-9930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110919000024 VA Practitioner - Nurse Practitioner 0446433767 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Aug 4, 2011 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

21785 Filigree Ct
Ste 201
Ashburn, VA 20147
Phone (571) 465-2385

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44055 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 724-7530

Interoperability endpoints

  • Direct secure messaging: tdesanctis3778@soc.inova.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1457524365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17334",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212971334",
            "telephone_number": "703-726-9930",
            "fax_number": "703-723-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21785 FILIGREE CT",
            "address_2": "SUITE 201",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476213",
            "telephone_number": "703-726-9930",
            "fax_number": "703-723-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANCTIS",
        "first_name": "TERESA",
        "middle_name": "T",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024167670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.