Active NPI
Rebekah Hannay Jordan
- Family Nurse Practitioner
- Ashburn, VA
National Provider Identifier
1659618049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024170557
- Practice address
- 21170 Ashby Ponds Blvd
Ashburn, VA 20147-6128 - Phone
- (571) 291-6131
- Fax
- (571) 291-6135
- NPI assigned
- Jan 7, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024170557 | VA | Primary |
Addresses
Primary practice location
21170 Ashby Ponds Blvd
Ashburn, VA 20147-6128
Mailing address
5525 Research Park Dr FL 4
Baltimore, MD 21228-4873
Phone (571) 291-6131
Other practice location 1
44045 Riverside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6044
Other names 1
- Rebekah Susanne Hannay
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024170557 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Commonwealth Emergency Physicians PC | Current | Accepting new patients | |
| Sharon Shavit | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Jonathan D Smith, DC, PC | Past | Accepting new patients | |
| Erickson Health Medical Group of Virginia PC | Past | Accepting new patients | |
| Commonwealth Emergency Physicians PC | Past | Accepting new patients |
Locations
100 Chalmers Ct
Berryville, VA 22611
Phone (540) 692-9428
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
8644 Sudley Rd
#220
Manassas, VA 20110
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Leesburg, VA
- NPI 1598723082
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
-
- School Social Worker
- Berryville, VA
- NPI 1598293011
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Physician Assistant
- Leesburg, VA
- NPI 1366061574
-
- Internal Medicine Physician
- Springfield, VA
- NPI 1609896489
-
- Chiropractor
- Ashburn, VA
- NPI 1285872002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1659618049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 RESEARCH PARK DR FL 4",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212284873",
"telephone_number": "571-291-6131",
"fax_number": "571-291-6135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21170 ASHBY PONDS BLVD",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201476128",
"telephone_number": "571-291-6131",
"fax_number": "571-291-6135"
}
],
"practiceLocations": [
{
"address_1": "44045 Riverside Pkwy",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "VA",
"postal_code": "201765101",
"country_code": "US",
"telephone_number": "703-858-6044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JORDAN",
"first_name": "REBEKAH",
"middle_name": "HANNAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024170557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBEKAH",
"last_name": "HANNAY",
"middle_name": "SUSANNE",
"credential": "NP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.