Individual provider Active NPI

Rebeka Nazneen, ACNP-BC

  • Family Nurse Practitioner
  • Manassas, VA
National Provider Identifier
1669173431
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024186738 Issued in VA
Practice address
8569 Sudley Rd Ste B
Manassas, VA 20110-3866
Phone
(703) 257-7749
Fax
(855) 254-4529
NPI assigned
Mar 16, 2023
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024186738 VA
Family Nurse Practitioner 363LF0000X 0024186738 VA Primary

Addresses

Primary practice location

8569 Sudley Rd Ste B
Manassas, VA 20110-3866

Mailing address

8569 Sudley Rd Ste B
Manassas, VA 20110-3866
Phone (703) 257-7749

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Eclinicalworks Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241211003852 VA Practitioner - Nurse Practitioner 2961938188 Reassigns benefits to 4 organizations
I20250123000257 DC Practitioner - Nurse Practitioner 2961938188 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Alliance Medical Team LLCGroup PAC ID 9133652852, 16 clinicians
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians

Practice addresses (Care Compare)

14906 Richmond Hwy
Woodbridge, VA 22191-4016
Phone (609) 335-6595

1850 Town Ctr Pkwy
Reston, VA 20190-3204
Phone (703) 689-9000

2729 King St
Alexandria, VA 22302-4008
Phone (609) 335-6595

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024186738VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC DMV LLC Single Specialty CurrentSince Oct 6, 2025 Accepting new patients
Alliance Medical Team LLC Single Specialty CurrentSince Sep 13, 2025 Accepting new patients
Manassas Internal Medicine PC Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Intensive Care Consortium Inc Single Specialty CurrentSince Sep 1, 2025 Accepting new patients
Virginia Nephrology Group, LLP Single Specialty Past Accepting new patients

Locations

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2729 King St
Alexandria, VA 22302
Phone (703) 744-0155

20130 Lakeview Center Plz
Ste 400
Ashburn, VA 20147
Phone (700) 865-2144

8569 Sudley Rd
Ste B
Manassas, VA 20110
Phone (703) 257-7749

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

14906 Richmond Hwy
Woodbridge, VA 22191
Phone (609) 335-6595

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEDCBD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1669173431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8569 SUDLEY RD STE B",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103866",
            "telephone_number": "703-257-7749",
            "fax_number": "855-254-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8569 SUDLEY RD STE B",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103866",
            "telephone_number": "703-257-7749",
            "fax_number": "855-254-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZNEEN",
        "first_name": "REBEKA",
        "credential": "ACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024186738",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024186738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Eclinicalworks",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8569 Sudley Rd Ste B",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201103866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.