Active NPI
Teresa M Forbes
- Family Nurse Practitioner
- Falls Church, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024180443
- Practice address
- 134 W Broad St # 1905
Falls Church, VA 22046-4201 - Phone
- (703) 538-4835
- NPI assigned
- Apr 5, 2021
- Last updated
- Oct 13, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024180443 | VA | Primary |
Addresses
Primary practice location
134 W Broad St # 1905
Falls Church, VA 22046-4201
Mailing address
134 W Broad St # 1905
Falls Church, VA 22046-4201
Phone (703) 538-4835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0024180443 | Other | VA | COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
134 W Broad St
Falls Church, VA 22046-4201
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024180443 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Primary Care - Virginia PLLC | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of Virginia LLC | Family | Current | Accepting new patients |
| Virginia CVS Pharmacy LLC | Past | Accepting new patients | |
| Virginia CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Locations
1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687
7205 Little River Tpke
Annandale, VA 22003
Phone (703) 256-4030
10250 Bristow Center Dr
Bristow, VA 20136
Phone (703) 369-1739
134 W Broad St
Falls Church, VA 22046
Phone (703) 536-4835
134 W Broad St
#1905
Falls Church, VA 22046
Phone (703) 538-4835
19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 4
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1720667033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 W BROAD ST # 1905",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220464201",
"telephone_number": "703-538-4835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 W BROAD ST # 1905",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220464201",
"telephone_number": "703-538-4835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORBES",
"first_name": "TERESA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-05",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024180443",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS",
"identifier": "0024180443",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.