Individual provider Active NPI

Anna Senese, PA-C

  • Physician Assistant
  • Alexandria, VA
National Provider Identifier
1649985920
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110009041 Issued in VA
Practice address
2500 N Van Dorn St Ste 102
Alexandria, VA 22302-1601
Phone
(703) 933-0555
NPI assigned
Jan 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110009041 VA Primary

Addresses

Primary practice location

2500 N Van Dorn St Ste 102
Alexandria, VA 22302-1601

Mailing address

2500 N Van Dorn St Ste 102
Alexandria, VA 22302-1601
Phone (703) 933-0555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110009041VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Van Dorn Pediatrics, PC CurrentSince Jan 22, 2023 Accepting new patients

Locations

2500 N Van Dorn St
Ste 102
Alexandria, VA 22302
Phone (703) 933-0555

Organizations & group practices 1

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": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1649985920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N VAN DORN ST STE 102",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021601",
            "telephone_number": "703-933-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N VAN DORN ST STE 102",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021601",
            "telephone_number": "703-933-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENESE",
        "first_name": "ANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110009041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.