Individual provider Active NPI

Paige E. Cooper, FNP-C

  • Family Nurse Practitioner
  • Reston, VA
National Provider Identifier
1699569400
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024192980 Issued in VA
Practice address
11160 S Lakes Dr
Reston, VA 20191-4327
Phone
(703) 620-6585
NPI assigned
Apr 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 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 ACOO7567 MD
Family Nurse Practitioner 363LF0000X 0024192980 VA Primary

Addresses

Primary practice location

11160 S Lakes Dr
Reston, VA 20191-4327

Mailing address

11160 S Lakes Dr
Reston, VA 20191-4327
Phone (866) 389-2727

Other names 1

  • Mrs. Paige E. Martin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, 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
I20260522000163 MD Practitioner - Nurse Practitioner 1850861626 Reassigns benefits to 2 organizations
I20260522000396 DC Practitioner - Nurse Practitioner 1850861626 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

2003 Davidsonville Rd
Crofton, MD 21114-1317
Phone (866) 389-2727

2601 Riva Rd
Annapolis, MD 21401-7304
Phone (866) 389-2727

28 Magothy Beach Rd
Pasadena, MD 21122-4428
Phone (866) 389-2727

3025 Solomons Island Rd
Edgewater, MD 21037-1416
Phone (866) 389-2727

7095 Baltimore Annapolis Blvd
Glen Burnie, MD 21061-1431
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACOO7567MDMDFamily Medicine Physician
0024192980VAMDFamily Medicine Physician

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": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1699569400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 S LAKES DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201914327",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 S LAKES DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201914327",
            "telephone_number": "703-620-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "PAIGE",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-07",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "ACOO7567",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024192980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "MARTIN",
            "middle_name": "E.",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.