Active NPI
John Iver, RN, MSN, CDP
- Registered Nurse
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 0001217000
- Practice address
- 10300 Eaton PL Ste 260
Fairfax, VA 22030-2255 - Phone
- (571) 620-7556
- Fax
- (571) 620-7557
- NPI assigned
- Sep 27, 2012
- Last updated
- Apr 29, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001217000 | VA | Primary |
| Home Health Registered Nurse | 163WH0200X | 0001217000 | VA |
Addresses
Primary practice location
10300 Eaton PL Ste 260
Fairfax, VA 22030-2255
Mailing address
10300 Eaton PL Ste 260
Fairfax, VA 22030-2255
Phone (571) 620-7556
Other practice location 1
6128 Brandon Ave Ste 222
Springfield, VA 22150-2693
Phone (571) 620-7556
Other names 1
- John Iver
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
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001217000 | VA | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premium Care USA LLC | Current | Accepting new patients |
Locations
10300 Eaton Pl
Ste 260
Fairfax, VA 22030
Phone (571) 620-7556
3022 Javier Rd
Ste 152
Fairfax, VA 22031
Phone (202) 258-3344
6128 Brandon Ave
Ste 222
Springfield, VA 22150
Phone (571) 620-7556
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651190400000",
"number": "1841541059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10300 EATON PL STE 260",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302255",
"telephone_number": "571-620-7556",
"fax_number": "571-620-7557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 EATON PL STE 260",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302255",
"telephone_number": "571-620-7556",
"fax_number": "571-620-7557"
}
],
"practiceLocations": [
{
"address_1": "6128 Brandon Ave Ste 222",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "VA",
"postal_code": "221502693",
"country_code": "US",
"telephone_number": "571-620-7556",
"fax_number": "571-620-7557",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IVER",
"first_name": "JOHN",
"credential": "RN, MSN, CDP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-27",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001217000",
"primary": true
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "VA",
"license": "0001217000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "IVER",
"credential": "RN, MSN, FNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.