Active NPI
Jacqueline Bowen Falls, CPNP
- Pediatrics Physician
- Fredericksburg, VA
National Provider Identifier
1851868152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0024176518
- Practice address
- 4550 Empire CT
Fredericksburg, VA 22408-1939 - Phone
- (804) 339-9303
- NPI assigned
- Oct 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0024176518 | VA | Primary |
Addresses
Primary practice location
4550 Empire CT
Fredericksburg, VA 22408-1939
Mailing address
5670 S Garden Rd
Providence Forge, VA 23140-3152
Phone (804) 339-9303
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
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024176518 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Children's Hospital
- Washington, DC
- NPI 1912939703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540425600000",
"number": "1851868152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5670 S GARDEN RD",
"city": "PROVIDENCE FORGE",
"state": "VA",
"postal_code": "231403152",
"telephone_number": "804-339-9303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 EMPIRE CT",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224081939",
"telephone_number": "804-339-9303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALLS",
"first_name": "JACQUELINE",
"middle_name": "BOWEN",
"name_prefix": "Mrs.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-25",
"last_updated": "2018-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0024176518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
- Mashal Fakhar
- Fall Hill Gastroenterology Associates, a Division of Maha, Inc.
- Fall Hill Gastroenterology Associates, LTD.
- Fall Hill Gastroenterology Endoscopy Center LLC
- Fall Hill Pediatrics
- Family Care of Fredericksburg, PLC
- Family Counseling Solutions
- Family Dental Care
- Family First Dental PC
- Family Foot and Ankle Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.