Individual provider Active NPI

Sonia Ansari, FNP

  • Family Nurse Practitioner
  • Vienna, VA
National Provider Identifier
1720710577
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024184572 Issued in VA
Practice address
8130 Boone Blvd Ste 340
Vienna, VA 22182-2640
Phone
(703) 734-2222
NPI assigned
Jun 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024184572 VA Primary

Addresses

Primary practice location

8130 Boone Blvd Ste 340
Vienna, VA 22182-2640

Mailing address

8130 Boone Blvd
340
Vienna, VA 22182
Phone (703) 734-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230314001207 DC Practitioner - Nurse Practitioner 2769856749 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024184572VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis and Rheumatology Clinical Center of Northern Virginia, PLLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

8130 Boone Blvd
Ste 340
Vienna, VA 22182
Phone (703) 734-2222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBAADA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1720710577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 BOONE BLVD",
            "address_2": "340",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "22182",
            "telephone_number": "703-734-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 BOONE BLVD STE 340",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822640",
            "telephone_number": "703-734-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "SONIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.