Marisa Konishi, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024181654 Issued in VA

Practice address

1800 Town Center Dr Ste 311
Reston, VA 20190-3239

Phone

(703) 763-2705

Fax

(833) 907-2320

NPI assigned

Aug 12, 2021

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

Enrolled in DC

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prized Health PLLCGroup PAC ID 5092105072, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• East Coast Valley Home Health, Inc. Home health agency, Fairfax, VA, CCN 497817
• Reston Hospital Center Hospital, Reston, VA, CCN 490107

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marisa.konishi.1@25069.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/25069/brand/1/csg/1/fhir/r4

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.

• Prized Health PLLC

  • Family Medicine Physician
  • Reston, VA
  • NPI 1871262923

  DC

  Medicare reassignment Care Compare group NPD
• Millenium Medical Corp

  • Family Medicine Physician
  • Woodbridge, VA
  • NPI 1740443183

  DC

  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• East Coast Valley Home Health Inc

  • Home Health Agency
  • Fairfax, VA
  • NPI 1437913134
  Care Compare affiliation
• Reston Hospital Center LLC

  • General Acute Care Hospital
  • Reston, VA
  • NPI 1053363853
  Care Compare affiliation

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1649945593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13168 CENTERPOINTE WAY STE 101",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935287",
            "telephone_number": "703-730-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DR STE 311",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903239",
            "telephone_number": "703-763-2705",
            "fax_number": "833-907-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONISHI",
        "first_name": "MARISA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024181654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Kohns
• Sarah Jacqueline Kolling, AU.D.
• Padmalatha R Kona, MD
• Julija Kondratyuk, D.M.D
• Peter Reid Kongstvedt, M.D.
• Agnes Emma Koroma
• Mary Jane Catherine Korrigan, RDH
• Madhubala A Kothari, MD
• Nancy Paula Krall, D.P.T.
• Anna Agnieszka Kraszewska, MD

• Family Nurse Practitioner in Reston, VA
• Providers in Reston, 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 Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.