Individual provider Active NPI

Colette T Knudsen, RN, FNP-BC

  • Nurse Practitioner
  • Alexandria, VA
National Provider Identifier
1639406317
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024173673 Issued in VA
Practice address
8350 Richmond Hwy Ste 301
Alexandria, VA 22309-2344
Phone
(703) 704-7082
NPI assigned
Nov 17, 2009
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024173673 VA Primary
General Practice Registered Nurse 163WG0000X 0001098727 VA

Addresses

Primary practice location

8350 Richmond Hwy Ste 301
Alexandria, VA 22309-2344

Mailing address

8350 Richmond Hwy Ste 301
Alexandria, VA 22309-2344
Phone (703) 704-7082

Other identifiers 1

IdentifierTypeStateIssuer
1639406317MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, DC, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170105001112 TX Practitioner - Nurse Practitioner 9436282654 Reassigns benefits to 1 organization
I20171116001515 DC Practitioner - Nurse Practitioner 9436282654 Reassigns benefits to 2 organizations
I20171204003050 VA Practitioner - Nurse Practitioner 9436282654 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001098727VAMDGeneral Practice Registered Nurse
0024173673VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Current Accepting new patients
Neighborhood Health Nurse Practitioner CurrentSince Aug 21, 2019 Accepting new patients
Inova Health Care Services CurrentSince Sep 18, 2017 Accepting new patients
Neighborhood Health CurrentSince Aug 21, 2019 Accepting new patients
Inova Health Care Services CurrentSince Sep 18, 2017 Accepting new patients
Neighborhood Health Past Accepting new patients

Locations

2 E Glebe Rd
Alexandria, VA 22305
Phone (703) 535-6913

6677 Richmond Hwy
Alexandria, VA 22306
Phone (703) 303-3701

8350 Richmond Hwy
Ste 301
Alexandria, VA 22309
Phone (703) 535-6913

8221 Willow Oaks Corporate Dr
Ste 450
Fairfax, VA 22031
Phone (703) 237-3446

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Interoperability endpoints

  • Direct secure messaging: colette.knudsen@nhnva.eclinicaldirectplus.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1639406317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 RICHMOND HWY STE 301",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223092344",
            "telephone_number": "703-704-7082",
            "fax_number": "703-704-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 RICHMOND HWY STE 301",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223092344",
            "telephone_number": "703-704-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUDSEN",
        "first_name": "COLETTE",
        "middle_name": "T",
        "credential": "RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024173673",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "VA",
            "license": "0001098727",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639406317",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.