Individual provider Active NPI

Rosemarie Ann Raymond, APRN-BC NP

  • Primary Care Nurse Practitioner
  • Reston, VA
National Provider Identifier
1720099492
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0024075685 Issued in VA
Practice address
12001 Market St
226
Reston, VA 20190-6209
Phone
(571) 313-0438
Fax
(703) 435-1961
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710001227 VA
Registered Nurse 163W00000X 0001075685 VA
Primary Care Nurse Practitioner 363LP2300X 0024075685 VA Primary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 0015000635 VA

Addresses

Primary practice location

12001 Market St
226
Reston, VA 20190-6209

Mailing address

12001 Market St
226
Reston, VA 20190-6209
Phone (571) 313-0438

Other identifiers 1

IdentifierTypeStateIssuer
4945107MedicaidVA

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0710001227VAMDAddiction (Substance Use Disorder) Counselor
0001075685VAMDRegistered Nurse
0015000635VAMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1720099492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 MARKET ST",
            "address_2": "226",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201906209",
            "telephone_number": "571-313-0438",
            "fax_number": "703-435-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 MARKET ST",
            "address_2": "226",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201906209",
            "telephone_number": "571-313-0438",
            "fax_number": "703-435-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "ROSEMARIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN-BC NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710001227",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001075685",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024075685",
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "VA",
            "license": "0015000635",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4945107",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.