Active NPI
Nicole De Las Alas, MSN, FNP-BC
- Family Nurse Practitioner
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024178155
- Practice address
- 3930 Walnut St Ste 101
Fairfax, VA 22030-4750 - Phone
- (703) 246-9246
- Fax
- (703) 246-9257
- NPI assigned
- Aug 30, 2019
- Last updated
- Jan 28, 2026
- 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 | 0024178155 | VA | Primary |
Addresses
Primary practice location
3930 Walnut St Ste 101
Fairfax, VA 22030-4750
Mailing address
3930 Walnut St Ste 101
Fairfax, VA 22030-4750
Phone (703) 246-9246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
41816 Fenway Cir
Ashburn, VA 20148-8069
Phone (347) 761-7200
9640 Burke Lake Rd
Burke, VA 22015-3022
Phone (703) 425-9765
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.76 of 100
- Quality
- 79.46
- Improvement activities
- 40
- Cost
- 66.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Nephrology Group, LLP | Current | Accepting new patients | |
| Virginia Internal Medicine Inc | Current | Accepting new patients |
Locations
9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255
9640 Burke Lake Rd
Burke, VA 22015
Phone (347) 761-7200
10701 Main St
Fairfax, VA 22030
Phone (703) 273-7705
3930 Walnut St
Ste 101
Fairfax, VA 22030
Phone (703) 246-9246
3440 S Jefferson St
Falls Church, VA 22041
Phone (703) 578-7108
3440 S Jefferson St
#12202
Falls Church, VA 22041
Phone (703) 820-1488
14000 Crown Ct
Ste 110
Woodbridge, VA 22193
Phone (703) 361-7341
Organizations & group practices 2
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.
-
- Nephrology Physician
- Fairfax, VA
- NPI 1013001601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1740838978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3930 WALNUT ST STE 101",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220304750",
"telephone_number": "703-246-9246",
"fax_number": "703-246-9257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3930 WALNUT ST STE 101",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220304750",
"telephone_number": "703-246-9246",
"fax_number": "703-246-9257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LAS ALAS",
"first_name": "NICOLE",
"credential": "MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-30",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024178155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.