Individual provider Active NPI

Jennifer M Handy, D.O.

  • Family Medicine Physician
  • Manassas, VA
National Provider Identifier
1659692507
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102206333 Issued in VA
Practice address
8640 Sudley Rd Ste 203
Manassas, VA 20110-4404
Phone
(703) 368-3161
Fax
(703) 368-2498
NPI assigned
Jun 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS11984 FL
Family Medicine Physician 207Q00000X 0102206333 VA Primary

Addresses

Primary practice location

8640 Sudley Rd Ste 203
Manassas, VA 20110-4404

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

489 N Tyndall Pkwy
Panama City, FL 32404-6126
Phone (850) 770-3290

Other names 1

  • Jennifer M D'Souza Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhandy863871@direct.novanthealth.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210310002476 VA Practitioner - Family Practice 6608017298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Bradenton, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

8640 Sudley Rd
Suite 203
Manassas, VA 20110-4404
Phone (703) 368-3161

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS11984FLMDFamily Medicine Physician
0102206333VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uva Community Health Medical Group, LLC CurrentSince Feb 1, 2021 Accepting new patients
NMG Affiliate Practice I, LLC CurrentSince Feb 1, 2021 Accepting new patients
Uva Community Health Medical Group, LLC Family Medicine Past Accepting new patients

Locations

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

15195 Heathcote Blvd
Ste 338
Haymarket, VA 20169
Phone (571) 261-3270

8640 Sudley Rd
Ste 203
Manassas, VA 20110
Phone (703) 368-3161

Interoperability endpoints

  • Direct secure messaging: jennifer.handy.1@9582.direct.athenahealth.com
  • Direct secure messaging: jhandy516889@direct.healthsystem.virginia.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1659692507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8640 SUDLEY RD STE 203",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104404",
            "telephone_number": "703-368-3161",
            "fax_number": "703-368-2498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "489 N Tyndall Pkwy",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324046126",
            "country_code": "US",
            "telephone_number": "850-770-3290",
            "fax_number": "850-770-3295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANDY",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS11984",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102206333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhandy863871@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "8640 Sudley Rd Ste 203",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201104404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "D'SOUZA",
            "middle_name": "M",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.