Individual provider Active NPI

Yvette Zebaze

  • Psychiatric/Mental Health Nurse Practitioner
  • Ashburn, VA
National Provider Identifier
1467865055
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024187548 Issued in VA
Practice address
20098 Ashbrook PL Ste 255
Ashburn, VA 20147-3394
Phone
(804) 207-6737
Fax
(804) 655-5994
NPI assigned
Jun 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001250384 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024187548 VA Primary

Addresses

Primary practice location

20098 Ashbrook PL Ste 255
Ashburn, VA 20147-3394

Mailing address

102 Heritage Way NE Ste 302
Leesburg, VA 20176-4544
Phone (703) 771-5100

Other practice location 1

102 Heritage Way NE Ste 302
Leesburg, VA 20176-4544
Phone (703) 771-5100 ext. 8055

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
I20231002000023 VA Practitioner - Nurse Practitioner 6608220280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians

Practice addresses (Care Compare)

20098 Ashbrook PL
Suite 255
Ashburn, VA 20147-3394
Phone (804) 207-6737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001250384VAMDRegistered Nurse
0024187548VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Counseling Associates Inc Psychiatric/Mental Health CurrentSince Oct 2, 2023 Accepting new patients

Locations

20098 Ashbrook Pl
Ste 255
Ashburn, VA 20147

9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.yvettezebaze@144557.advancedmd-direct.com

Organizations & group practices 1

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": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1467865055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HERITAGE WAY NE STE 302",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764544",
            "telephone_number": "703-771-5100",
            "fax_number": "703-777-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20098 ASHBROOK PL STE 255",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473394",
            "telephone_number": "804-207-6737",
            "fax_number": "804-655-5994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Heritage Way NE Ste 302",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201764544",
            "country_code": "US",
            "telephone_number": "703-771-5100 x8055",
            "fax_number": "703-777-0170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEBAZE",
        "first_name": "YVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001250384",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024187548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.