Individual provider Active NPI

Rochelle Tamara Bryan

  • Family Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1861076176
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024181298 Issued in VA
Practice address
3210 Lothian Rd Apt 10
Fairfax, VA 22031-4810
Phone
(703) 638-9076
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024181298 VA Primary

Addresses

Primary practice location

3210 Lothian Rd Apt 10
Fairfax, VA 22031-4810

Mailing address

3210 Lothian Rd Apt 10
Fairfax, VA 22031-4810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211102002092 NY Practitioner - Nurse Practitioner 3870981319 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024181298VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rd Medical Professional Services PC CurrentSince Jul 20, 2022 Accepting new patients
Essen Medical Associates, PC CurrentSince May 1, 2022 Accepting new patients
Essen Medical Associates, PC CurrentSince May 1, 2022 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince May 1, 2022 Accepting new patients
Medical Director Services PC CurrentSince Feb 25, 2024 Accepting new patients
JDS Medical Services PC CurrentSince Dec 9, 2025 Accepting new patients
Provider Partners Care Management LP CurrentSince Sep 1, 2025 Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

2241 New Haven Ave
Far Rockaway, NY 11691
Phone (516) 888-7614

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

1 Long Beach Rd
Island Park, NY 11558
Phone (516) 432-0300

228 E Route 59
Nanuet, NY 10954
Phone (718) 280-5436

612 Corporate Way
Ste 1M
Vly Cottage, NY 10989
Phone (718) 732-3634

115 S Broadway
Yonkers, NY 10701
Phone (914) 295-7200

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 7

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": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1861076176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 LOTHIAN RD APT 10",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 LOTHIAN RD APT 10",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314810",
            "telephone_number": "703-638-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "ROCHELLE",
        "middle_name": "TAMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024181298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.