Active NPI
Meghan Fisher
- Pediatric Nurse Practitioner
- Manassas, VA
National Provider Identifier
1710825260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0024196875
- Practice address
- 9709 Buchanan Loop
Manassas, VA 20110-7856 - Phone
- (571) 379-4246
- NPI assigned
- Mar 24, 2026
- Last updated
- Mar 24, 2026
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0024196875 | VA | Primary |
Addresses
Primary practice location
9709 Buchanan Loop
Manassas, VA 20110-7856
Mailing address
19891 Ridgecrest SQ
Ashburn, VA 20147-2741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024196875 | VA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trusted Doctors LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Fairfax, VA
- NPI 1083793525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1710825260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19891 RIDGECREST SQ",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201472741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9709 BUCHANAN LOOP",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201107856",
"telephone_number": "571-379-4246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "MEGHAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-24",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VA",
"license": "0024196875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.