Individual provider Active NPI

Diane J. Hendel, NP-C

  • Family Nurse Practitioner
  • Arlington, VA
National Provider Identifier
1730439613
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024170347 Issued in VA
Practice address
227 N Evergreen St
Arlington, VA 22203-1225
Phone
(703) 622-2884
Fax
(703) 940-1346
NPI assigned
Sep 18, 2012
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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 0024170347 VA Primary

Addresses

Primary practice location

227 N Evergreen St
Arlington, VA 22203-1225

Mailing address

4201 Wilson Blvd # 110-139
Arlington, VA 22203-4417
Phone (703) 622-2284

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
I20121005000609 DC Practitioner - Nurse Practitioner 7719136761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Arlington, VA 22203
Phone (703) 622-2284

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024170347VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Eldercare, LLC Family CurrentSince Sep 20, 2020 Accepting new patients

Locations

4201 Wilson Blvd
#110139
Arlington, VA 22203

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1730439613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 WILSON BLVD # 110-139",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222034417",
            "telephone_number": "703-622-2284",
            "fax_number": "703-940-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N EVERGREEN ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031225",
            "telephone_number": "703-622-2884",
            "fax_number": "703-940-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDEL",
        "first_name": "DIANE",
        "middle_name": "J.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.