Individual provider Active NPI

Anna Dieringer Mason, FNP-C

  • Family Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1831809466
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024185101 Issued in VA
Practice address
3023 Hamaker CT
Fairfax, VA 22031-2207
Phone
(703) 876-2788
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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 NP1050656 DC
Family Nurse Practitioner 363LF0000X 0024185101 VA Primary

Addresses

Primary practice location

3023 Hamaker CT
Fairfax, VA 22031-2207

Mailing address

3861 Newark St NW Apt D466
Washington, DC 20016-3027
Phone (864) 553-0779

Other names 1

  • Ms. Anna Fitzgerald Dieringer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amason1127246@soc.inova.org Health Information Exchange (HIE) Pediatric Specialists of Virginia, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP1050656DCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Apr 25, 2023 Accepting new patients
Inova Health Care Services CurrentSince Apr 25, 2023 Accepting new patients
Pediatric Specialists of Virginia, LLC CurrentSince Apr 25, 2023 Accepting new patients
Children's Hospital Past Accepting new patients

Locations

22505 Landmark Ct
Ste 225
Ashburn, VA 20148
Phone (703) 726-1616

3023 Hamaker Ct
Ste 200
Fairfax, VA 22031
Phone (404) 251-8812

3023 Hamaker Ct
Fairfax, VA 22031
Phone (703) 280-3850

3023 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (571) 226-8380

3023 Hamaker Ct
Ste 600
Fairfax, VA 22031
Phone (703) 839-8733

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

14904 Richmond Hwy
Woodbridge, VA 22191
Phone (703) 492-6660

Organizations & group practices 4

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": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1831809466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3861 NEWARK ST NW APT D466",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163027",
            "telephone_number": "864-553-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 HAMAKER CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312207",
            "telephone_number": "703-876-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "ANNA",
        "middle_name": "DIERINGER",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP1050656",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024185101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amason1127246@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Pediatric Specialists of Virginia, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3023 Hamaker Ct",
            "address_2": "Suite 200",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220312207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "DIERINGER",
            "middle_name": "FITZGERALD",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.