Individual provider Active NPI

Erin Marie Fletcher, PA-C

  • Physician Assistant
  • Springfield, VA
National Provider Identifier
1720051600
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110006388 Issued in VA
Practice address
6230 Rolling Rd
Ste I/J
Springfield, VA 22152-2307
Phone
(571) 665-6460
Fax
(571) 565-6561
NPI assigned
Feb 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50.002098 OH
Physician Assistant 363A00000X 0110006388 VA Primary

Addresses

Primary practice location

6230 Rolling Rd
Ste I/J
Springfield, VA 22152-2307

Mailing address

9334 Boothe St
Alexandria, VA 22309-3044
Phone (703) 858-6044

Other practice location 1

180 Maple Ave W
Vienna, VA 22180-5727
Phone (703) 938-5300

Other practice location 2

United States Naval Hospital
Okinawa, Japan 96362
JP
Phone 011816117437304

Other practice location 3

44045 Riverside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6044

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address efletcher607009@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110006388VAMDPhysician Assistant
50.002098OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Emergency Physicians PC Physician Assistant PastSince Apr 17, 2020 Accepting new patients
Children'S Hospital Past Accepting new patients

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720051600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9334 BOOTHE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223093044",
            "telephone_number": "703-858-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 ROLLING RD",
            "address_2": "STE I/J",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522307",
            "telephone_number": "571-665-6460",
            "fax_number": "571-565-6561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Maple Ave W",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221805727",
            "country_code": "US",
            "telephone_number": "703-938-5300",
            "fax_number": "703-242-0726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "United States Naval Hospital",
            "address_purpose": "LOCATION",
            "city": "Okinawa",
            "state": "Japan",
            "postal_code": "96362",
            "country_code": "JP",
            "telephone_number": "011816117437304",
            "country_name": "Japan",
            "address_type": "FGN"
        },
        {
            "address_1": "44045 Riverside Pkwy",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201765101",
            "country_code": "US",
            "telephone_number": "703-858-6044",
            "fax_number": "703-858-6775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2022-07-21",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.002098",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "efletcher607009@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "180 Maple Ave W",
            "city": "Vienna",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221805727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.