Active NPI
Lake Anna Urgent Care
- Primary Care Nurse Practitioner
- Mineral, VA
National Provider Identifier
1467363739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- LAKE ANNA URGENT CARE
- Practice address
- 996 Tall Pines Dr
Mineral, VA 23117-4629 - Phone
- (703) 967-6163
- NPI assigned
- Sep 15, 2026
- Last updated
- Sep 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alyson Clendenny, NP
- Title
- Nurse Practitioner
- Phone
- (703) 967-6163
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | NU | Primary |
Addresses
Primary practice location
996 Tall Pines Dr
Mineral, VA 23117-4629
Mailing address
996 Tall Pines Dr
Mineral, VA 23117-4629
Phone (703) 967-6163
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Ashburn, VA
- NPI 1811681307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789430400000",
"number": "1467363739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "996 TALL PINES DR",
"city": "MINERAL",
"state": "VA",
"postal_code": "231174629",
"telephone_number": "703-967-6163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "996 TALL PINES DR",
"city": "MINERAL",
"state": "VA",
"postal_code": "231174629",
"telephone_number": "703-967-6163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE ANNA URGENT CARE",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-15",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A",
"authorized_official_last_name": "CLENDENNY",
"authorized_official_first_name": "ALYSON",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "703-967-6163",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineral, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.