Jennifer Lynn Dennison, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

0024186945 Issued in VA

Practice address

1860 Town Center Dr Ste 110
Reston, VA 20190-5898

Phone

(703) 796-0200

NPI assigned

Jul 13, 2023

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jennifer.dennison.1@21079.direct.athenahealth.com

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.

• Elite Gynecology and Wellness LLC

  • Obstetrics & Gynecology Physician
  • Fredericksburg, VA
  • NPI 1114793171
  NPD (past)

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1497434971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR STE 110",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905898",
            "telephone_number": "703-796-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR STE 110",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905898",
            "telephone_number": "703-796-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNISON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024186945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seble Wongel Dejene
• Lynnette Jeanne Delcambre, P.T.
• Jamie Lynn Delmar, CNM
• Kelly Delong, RNFA
• Kaitlyn Denby, ATC/L
• Dentart Smile Center PLLC
• Dentlux Smile Aesthetics
• Dermatology Specialists of Virginia PC
• Derosa Wellness Innovation, LLC
• Shirley Derosa, LPC

• Women's Health Nurse Practitioner in Reston, VA
• Providers in Reston, VA by specialty
• Women's Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.