Individual provider Active NPI

Jessica Iheanacho

  • Advanced Practice Midwife
  • Leesburg, VA
National Provider Identifier
1528879947
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
19450 Deerfield Ave Ste 460
Leesburg, VA 20176-6840
Phone
(571) 707-8522
NPI assigned
Jan 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X Primary

Addresses

Primary practice location

19450 Deerfield Ave Ste 460
Leesburg, VA 20176-6840

Mailing address

1925 Roland Clarke PL Apt 742
Reston, VA 20191-1476

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250404000671 VA Practitioner - Certified Nurse Midwife (CNM) 1355865957 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Women's Care, L.L.C. CurrentSince Mar 1, 2025 Accepting new patients
Capital Women's Care, L.L.C. Past Accepting new patients

Locations

19450 Deerfield Ave
Ste 460
Leesburg, VA 20176
Phone (571) 707-8522

46179 Westlake Dr
Ste 240
Potomac Falls, VA 20165
Phone (703) 368-1969

Interoperability endpoints

  • Direct secure messaging: jessica.iheanacho.p1@direct.cwcare.nextgenshare.com

Organizations & group practices 2

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": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1528879947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 ROLAND CLARKE PL APT 742",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19450 DEERFIELD AVE STE 460",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766840",
            "telephone_number": "571-707-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHEANACHO",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.