Active NPI
Jennifer Hensarling, N.P.
- Family Nurse Practitioner
- Arlington, VA
National Provider Identifier
1750712568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024178240
- Practice address
- 5275 Lee Hwy Ste 200
Arlington, VA 22207-1619 - Phone
- (425) 346-7129
- NPI assigned
- Dec 3, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024178240 | VA | Primary |
| Family Nurse Practitioner | 363LF0000X | 23774 | CA |
Addresses
Primary practice location
5275 Lee Hwy Ste 200
Arlington, VA 22207-1619
Mailing address
5275 Lee Hwy Ste 200
Arlington, VA 22207-1619
Phone (425) 346-7129
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 676617 | Other | CA | CALIFORNIA BOARD OF REGISTERED NURSING, REGISTERED NURSE |
| 0017146375 | Other | VA | COMMONWEALTH OF VIRGINIA DEPT OF HEALTH PROFESSIONS, AUTH TO PRESCRIBE |
| 0001290094 | Other | VA | COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS, RN |
| 0024178240 | Other | VA | COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS, NURSE PRACTITIONER |
| 23774 | Other | CA | CALIFORNIA BOARD OF REGISTERED NURSING, NURSE PRACTITIONER LICENSE & FURNISHING |
| RN60052709 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH, REGISTERED NURSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23774 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 0024178240 | VA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1750712568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5275 LEE HWY STE 200",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222071619",
"telephone_number": "425-346-7129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5275 LEE HWY STE 200",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222071619",
"telephone_number": "425-346-7129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSARLING",
"first_name": "JENNIFER",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-03",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024178240",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "23774",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF REGISTERED NURSING, REGISTERED NURSE",
"identifier": "676617",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF VIRGINIA DEPT OF HEALTH PROFESSIONS, AUTH TO PRESCRIBE",
"identifier": "0017146375",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS, RN",
"identifier": "0001290094",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS, NURSE PRACTITIONER",
"identifier": "0024178240",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF REGISTERED NURSING, NURSE PRACTITIONER LICENSE & FURNISHING",
"identifier": "23774",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH, REGISTERED NURSE",
"identifier": "RN60052709",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.