Organization Active NPI

Jupiter Health Organization

  • Family Nurse Practitioner
  • Lorton, VA
National Provider Identifier
1740054287
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
JUPITER HEALTH ORGANIZATION
Practice address
9345 Lorton Market STR
Unit 143
Lorton, VA 22079
Phone
(703) 459-7365
NPI assigned
Nov 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Rosemary Sheri IreriNPI 1356793020
Title
Owner
Phone
(703) 459-7365

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

9345 Lorton Market STR
Unit 143
Lorton, VA 22079

Mailing address

9006 Lancer Ridge CT
Lorton, VA 22079-1707
Phone (703) 459-7365

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1740054287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9006 LANCER RIDGE CT",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791707",
            "telephone_number": "703-459-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9345 LORTON MARKET STR",
            "address_2": "UNIT 143",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "22079",
            "telephone_number": "703-459-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER HEALTH ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "IRERI",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "SHERI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-459-7365"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.