Individual provider Active NPI

Andreina Valenzuela, MSN FNP-C

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1659131605
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP500342080 Issued in DC
Practice address
3100 14TH St NW Ste 125
Washington, DC 20010-2415
Phone
(202) 921-6767
NPI assigned
Mar 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP500342080 DC Primary
Family Nurse Practitioner 363LF0000X AC009285 MD

Addresses

Primary practice location

3100 14TH St NW Ste 125
Washington, DC 20010-2415

Mailing address

601 Childrens LN
Norfolk, VA 23507-1910

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
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
0024189715VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidmed Inc. Current Accepting new patients
Children'S Surgical Specialty Group, Inc Past Accepting new patients
Kidmed Southside PLC Past Accepting new patients
Tidewater Physicians Multispecialty Group PC PastSince Nov 15, 2017 Accepting new patients
Tidewater Physicians Multispecialty Group PC Past Accepting new patients

Locations

4687 Pouncey Tract Rd
Glen Allen, VA 23059
Phone (804) 422-5437

8356 Bell Creek Rd
Mechanicsville, VA 23116
Phone (804) 559-5437

5021 Craig Rath Blvd
Bldg Iv
Midlothian, VA 23112
Phone (804) 422-5437

20 Doc Stone Rd
Stafford, VA 22556
Phone (540) 602-7766

Interoperability endpoints

  • Direct secure messaging: andreinavalenzuela@kidmed.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 5

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": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1659131605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CHILDRENS LN",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 14TH ST NW STE 125",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102415",
            "telephone_number": "202-921-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "ANDREINA",
        "credential": "MSN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP500342080",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC009285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.