Jacquelyn D Katz, DNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024168042 Issued in VA

Practice address

19349 Diamond Lake Dr
Leesburg, VA 20176-6596

Phone

(703) 687-4349

NPI assigned

Oct 23, 2008

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mediluxe

  • Clinic/Center
  • Leesburg, VA
  • NPI 1053952846
  NPD Authorized official

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1609029503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19349 DIAMOND LAKE DR",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766596",
            "telephone_number": "571-283-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19349 DIAMOND LAKE DR",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766596",
            "telephone_number": "703-687-4349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1062 Elden St",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201703803",
            "country_code": "US",
            "telephone_number": "703-471-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATZ",
        "first_name": "JACQUELYN",
        "middle_name": "D",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micaela Lynn Karinshak, LPC, LCPC, NCC
• Sameh M. Kassem, DDS
• Katharine M Ayres
• Kathy L. Bowen, OD LLC
• Melanie Rose Katz-Lawton
• Eve Layne Kaufman
• Michael Andrew Kavanagh, MD
• Edward H Kean, DDS
• Lauren Keating, OTR/L
• Kaitlyn Elizabeth Keck, OTD

• Family Nurse Practitioner in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.