Individual provider Active NPI

Jessica Joyce Alfree, DNP, FNP-BC

  • Family Nurse Practitioner
  • Reston, VA
National Provider Identifier
1831757533
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024177637 Issued in VA
Practice address
12040 S Lakes Dr
Reston, VA 20191-1246
Phone
(703) 230-0347
NPI assigned
May 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0024177637 VA
Family Nurse Practitioner 363LF0000X 0024177637 VA Primary

Addresses

Primary practice location

12040 S Lakes Dr
Reston, VA 20191-1246

Mailing address

12040 S Lakes Dr Ste 204
Reston, VA 20191-1236
Phone (703) 230-0347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20190724000053 DC Practitioner - Nurse Practitioner 2163758509 Reassigns benefits to 2 organizations
I20200713002485 VA Practitioner - Nurse Practitioner 2163758509 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024177637VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Executive Healthcare Services PLLC Family Medicine CurrentSince Aug 28, 2022 Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince May 27, 2019 Accepting new patients
Inova Physician Partners, LLC Family Medicine CurrentSince Jun 25, 2020 Accepting new patients
Privia Medical Group, LLC CurrentSince May 27, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

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

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

3650 Joseph Siewick Dr
Ste 400
Fairfax, VA 22033
Phone (703) 391-2020

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

12040 South Lakes Dr
Ste 204
Reston, VA 20191
Phone (703) 230-0347

Interoperability endpoints

  • Direct secure messaging: jessica.dunn@105592283987972.direct.elationemr.com

Organizations & group practices 6

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": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1831757533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12040 S LAKES DR STE 204",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911236",
            "telephone_number": "703-230-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12040 S LAKES DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911246",
            "telephone_number": "703-230-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFREE",
        "first_name": "JESSICA",
        "middle_name": "JOYCE",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0024177637",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024177637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.