Individual provider Active NPI

Edward A Stern, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1851762025
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024182789 Issued in VA
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

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
NP1008861DCMDPsychiatric/Mental Health Nurse Practitioner
AC003989MDMDPsychiatric/Mental Health Nurse Practitioner
0024182789VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.