Active NPI
Laura Stephens, PA-C
- Physician Assistant
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110-005919
- Practice address
- 11484 Washington PLZ W
Reston, VA 20190-4344 - Phone
- (540) 536-5500
- Fax
- (703) 443-2000
- NPI assigned
- Sep 22, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110-005919 | VA | Primary |
Addresses
Primary practice location
11484 Washington PLZ W
Reston, VA 20190-4344
Mailing address
310 Watermill Run
Newport News, VA 23606-1251
Phone (757) 319-2554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 Town Ctr Dr
Suite 212
Reston, VA 20190-3238
Phone (703) 766-2220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110-005919 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Urgent Care, LLC | Current | Accepting new patients | |
| Loudoun Community Health Center | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Valley Physician Enterprise, Inc | Current | Accepting new patients | |
| Valley Physician Enterprise, Inc. | Current | Accepting new patients |
Locations
3007 Tilden St NW
Ste 5N
Washington, DC 20008
6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890
3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960
11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505
1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300
163 Fort Evans Rd NE
Leesburg, VA 20176
Phone (703) 433-2000
11484 Washington Plz W
Ste 300
Reston, VA 20190
Phone (703) 689-2180
611 E Jubal Early Dr
Winchester, VA 22601
Phone (540) 536-5500
Organizations & group practices 8
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.
-
- Surgery Physician
- Winchester, VA
- NPI 1538316203
-
dba MedStar PromptCare-Wheaton
- Urgent Care Clinic/Center
- Wheaton, MD
- NPI 1871843409
DC
-
dba HealthWorks for Northern Virginia
- Federally Qualified Health Center (FQHC)
- Leesburg, VA
- NPI 1629109806
-
dba MedStar PromptCare
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1902175870
-
- Federally Qualified Health Center (FQHC)
- Sterling, VA
- NPI 1144736901
-
dba Valley Health Fertility
- Obstetrics & Gynecology Physician
- Winchester, VA
- NPI 1255222535
-
- General Practice Physician
- Lexington Park, MD
- NPI 1275410474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582848000000",
"number": "1871002782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 WATERMILL RUN",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236061251",
"telephone_number": "757-319-2554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11484 WASHINGTON PLZ W",
"city": "RESTON",
"state": "VA",
"postal_code": "201904344",
"telephone_number": "540-536-5500",
"fax_number": "703-443-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "LAURA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-22",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110-005919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.