Active NPI
Edward A Stern, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024182789
- Practice address
- 10304 Eaton PL Ste 100
Fairfax, VA 22030-2221 - Phone
- (571) 463-8620
- Fax
- (571) 999-7549
- NPI assigned
- Oct 14, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP1008861 | DC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AC003989 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024182789 | VA | Primary |
Addresses
Primary practice location
10304 Eaton PL Ste 100
Fairfax, VA 22030-2221
Mailing address
10304 Eaton PL Ste 100
Fairfax, VA 22030-2221
Phone (571) 463-8620
Other practice location 1
800 S Frederick Ave Ste 200
Gaithersburg, MD 20877-4152
Phone (571) 463-8620
Other practice location 2
1629 K St NW Ste 300
Washington, DC 20006-1631
Phone (571) 463-8620
Other practice location 3
520 N Washington St Ste 100
Falls Church, VA 22046-3538
Phone (571) 463-8620
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP1008861 | DC | MD | Psychiatric/Mental Health Nurse Practitioner |
| AC003989 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
| 0024182789 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nothingbetter Health PLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Nothingbetter Health Group | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
1627 K St NW
Ste 500
Washington, DC 20006
Phone (202) 515-1993
1629 K St NW
Ste 300
Washington, DC 20006
Phone (202) 922-6630
10304 Eaton Pl
Ste 100
Fairfax, VA 22030
Phone (571) 463-8620
520 N Washington St
Ste 100
Falls Church, VA 22046
Phone (571) 766-8117
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Falls Church, VA
- NPI 1942183298
-
- Psychiatric/Mental Health Nurse Practitioner
- Fairfax, VA
- NPI 1619632049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1851762025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10304 EATON PL STE 100",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302221",
"telephone_number": "571-463-8620",
"fax_number": "571-999-7549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10304 EATON PL STE 100",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302221",
"telephone_number": "571-463-8620",
"fax_number": "571-999-7549"
}
],
"practiceLocations": [
{
"address_1": "800 S Frederick Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Gaithersburg",
"state": "MD",
"postal_code": "208774152",
"country_code": "US",
"telephone_number": "571-463-8620",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1629 K St NW Ste 300",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200061631",
"country_code": "US",
"telephone_number": "571-463-8620",
"fax_number": "571-999-7549",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "520 N Washington St Ste 100",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220463538",
"country_code": "US",
"telephone_number": "571-463-8620",
"fax_number": "571-999-7549",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STERN",
"first_name": "EDWARD",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-14",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DC",
"license": "NP1008861",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "AC003989",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024182789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.