Individual provider Active NPI

Jewel Eccleston, REGISTERED NURSE

  • Nurse Practitioner
  • Lorton, VA
National Provider Identifier
1851858328
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024195710 Issued in VA
Practice address
7968 Almeda CT
Lorton, VA 22079-2363
Phone
(210) 912-5825
NPI assigned
Feb 20, 2019
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024195710 VA Primary
Registered Nurse 163W00000X 0001256418 VA

Addresses

Primary practice location

7968 Almeda CT
Lorton, VA 22079-2363

Mailing address

7968 Almeda CT
Lorton, VA 22079-2363
Phone (210) 912-5825

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 3, 2026 through Apr 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0001256418VAMDRegistered Nurse
0024195710VAMDNurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1851858328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7968 ALMEDA CT",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220792363",
            "telephone_number": "210-912-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7968 ALMEDA CT",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220792363",
            "telephone_number": "210-912-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECCLESTON",
        "first_name": "JEWEL",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024195710",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001256418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorton, VA

Sources for this page

Verify at the official NPI Registry.