Individual provider Active NPI

Veronica J Reza, FNP

  • Family Nurse Practitioner
  • Midlothian, VA
National Provider Identifier
1801027180
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024188035 Issued in VA
Practice address
14101 Midlothian Tpke
Midlothian, VA 23113-6523
Phone
(804) 893-5144
Fax
(615) 425-4271
NPI assigned
Aug 4, 2009
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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 0024188035 VA Primary

Addresses

Primary practice location

14101 Midlothian Tpke
Midlothian, VA 23113-6523

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (615) 425-4277

Other identifiers 1

IdentifierTypeStateIssuer
1801027180MedicaidWI

Other names 1

  • Veronica J Lisenby Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231010003446 VA Practitioner - Nurse Practitioner 3476692385 Reassigns benefits to 3 organizations
I20240906002852 DC Practitioner - Nurse Practitioner 3476692385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

1850 Pocahontas TRL
Quinton, VA 23141-1657
Phone (804) 932-4388

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
64.75 of 100Reported as group
Quality
55.37
Improvement activities
40
Cost
47.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jul 11, 2025 Accepting new patients
True North Health Navigation LLC CurrentSince Aug 1, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 11, 2025 Accepting new patients
Little Clinic of VA LLC Family CurrentSince Sep 5, 2023 Accepting new patients
True North Health Navigation LLC Past Accepting new patients
Charles Otis Boyette MD Past Accepting new patients
Dispatchhealth NV Wagner PC Past Accepting new patients
Medical Associates of Central Virginia, Inc. Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

3111 Telegraph Corner Ln
Ste 100
Alexandria, VA 22310
Phone (703) 317-3200

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

8644 Sudley Rd
#220
Manassas, VA 20110

8000 Westpark Dr
Ste 130
Mc Lean, VA 22102
Phone (702) 848-4443

14101 Midlothian Tpke
Midlothian, VA 23113
Phone (804) 594-1640

7000 Tim Price Way
North Chesterfield, VA 23225
Phone (804) 772-8541

9010 Pocahontas Trl
Providence Forge, VA 23140
Phone (804) 932-1020

1850 Pocahontas Trl
Quinton, VA 23141
Phone (804) 932-4388

7200 Glen Forest Dr
Ste 106
Richmond, VA 23226
Phone (804) 495-0053

1951 Kidwell Dr
Ste 101
Vienna, VA 22182
Phone (571) 348-4721

Interoperability endpoints

  • Direct secure messaging: reza.veronica.1@8042.direct.athenahealth.com

Organizations & group practices 8

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 3

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": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1801027180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "615-425-4277",
            "fax_number": "615-891-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14101 MIDLOTHIAN TPKE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136523",
            "telephone_number": "804-893-5144",
            "fax_number": "615-425-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZA",
        "first_name": "VERONICA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024188035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801027180",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONICA",
            "last_name": "LISENBY",
            "middle_name": "J",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.