Individual provider Active NPI

Jennifer Hensarling, N.P.

  • Family Nurse Practitioner
  • Arlington, VA
National Provider Identifier
1750712568
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178240 Issued in VA
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

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
676617OtherCACALIFORNIA BOARD OF REGISTERED NURSING, REGISTERED NURSE
0017146375OtherVACOMMONWEALTH OF VIRGINIA DEPT OF HEALTH PROFESSIONS, AUTH TO PRESCRIBE
0001290094OtherVACOMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS, RN
0024178240OtherVACOMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS, NURSE PRACTITIONER
23774OtherCACALIFORNIA BOARD OF REGISTERED NURSING, NURSE PRACTITIONER LICENSE & FURNISHING
RN60052709OtherWAWASHINGTON 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

LicenseStateTypeSpecialty
23774CAMDAddiction (Substance Use Disorder) Counselor
0024178240VAMDFamily 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.

Verify at the official NPI Registry.