Individual provider Active NPI

Bethany Morrell, NP-C

  • Family Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1679945653
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024172876 Issued in VA
Practice address
4000 Legato Rd Ste 1100
Fairfax, VA 22033-2893
Phone
(703) 431-4615
NPI assigned
Oct 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024172876 VA Primary
Family Nurse Practitioner 363LF0000X NP500004039 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP500004039 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024172876 VA

Addresses

Primary practice location

4000 Legato Rd Ste 1100
Fairfax, VA 22033-2893

Mailing address

13244 Pleasant Glen CT
Herndon, VA 20171-2342
Phone (703) 431-4615

Other practice location 1

1629 K St NW Ste 300
Washington, DC 20006-1631
Phone (703) 431-4615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20151118001191 DC Practitioner - Nurse Practitioner 5890095111 Reassigns benefits to 1 organization
I20151210002583 VA Practitioner - Nurse Practitioner 5890095111 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024172876VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince May 21, 2016 Accepting new patients
Tranquility Wellness, PLLC Psychiatric/Mental Health Past Accepting new patients

Locations

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

10301 New Guinea Rd
Fairfax, VA 22032
Phone (571) 261-5052

13301 Gateway Center Dr
Gainesville, VA 20155
Phone (571) 261-5052

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

1452 Chain Bridge Rd
McLean, VA 22101
Phone (703) 307-8235

45130 Columbia Pl
Sterling, VA 20166
Phone (703) 463-2008

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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": "1446076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1679945653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13244 PLEASANT GLEN CT",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712342",
            "telephone_number": "703-431-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 LEGATO RD STE 1100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332893",
            "telephone_number": "703-431-4615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1629 K St NW Ste 300",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200061631",
            "country_code": "US",
            "telephone_number": "703-431-4615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRELL",
        "first_name": "BETHANY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-29",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172876",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP500004039",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP500004039",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024172876",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.