Individual provider Active NPI

Lindsay Douress, FNP-C

  • Otolaryngology Physician
  • Fairfax, VA
National Provider Identifier
1801457304
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0024177731 Issued in VA
Practice address
3801 University Dr
Fairfax, VA 22030-2503
Phone
(703) 383-8130
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0024177731 VA Primary

Addresses

Primary practice location

3801 University Dr
Fairfax, VA 22030-2503

Mailing address

3801 University Dr
Fairfax, VA 22030-2503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200318000854 DC Practitioner - Nurse Practitioner 6709214182 Reassigns benefits to 1 organization

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
Otolaryngology Associates PCGroup PAC ID 8022188069, 31 clinicians

Practice addresses (Care Compare)

3801 University Dr
Suite 300
Fairfax, VA 22030-2503
Phone (703) 383-8130

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Otolaryngology Associates, PC Otolaryngology CurrentSince Feb 1, 2020 Accepting new patients
Advanced Hearing Services Past Accepting new patients

Locations

24805 Pinebrook Rd
Ste 201
Chantilly, VA 20152
Phone (703) 327-4900

3801 University Dr
Ste 300
Fairfax, VA 22030
Phone (703) 383-8130

3801 University Dr
Fl 3
Fairfax, VA 22030
Phone (703) 383-8130

3801 University Dr
Ste 200
Fairfax, VA 22030
Phone (703) 383-8130

3801 University Dr
Fairfax, VA 22030
Phone (703) 383-8130

3801 University Dr
#300
Fairfax, VA 22030
Phone (703) 383-8130

3801 University Dr
#200
Fairfax, VA 22030

1850 Town Center Pkwy
#305
Reston, VA 20190
Phone (703) 834-2900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1801457304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 UNIVERSITY DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 UNIVERSITY DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302503",
            "telephone_number": "703-383-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOURESS",
        "first_name": "LINDSAY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0024177731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.