Individual provider Active NPI

Jessica Nicole Hardy, FNP-BC

  • Family Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1871823948
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024168524 Issued in VA
Practice address
10680 Main St Ste 130
Fairfax, VA 22030-3811
Phone
(703) 544-9113
Fax
(703) 544-9112
NPI assigned
Jan 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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 0024168524 VA Primary

Addresses

Primary practice location

10680 Main St Ste 130
Fairfax, VA 22030-3811

Mailing address

10680 Main St Ste 130
Fairfax, VA 22030-3811
Phone (703) 544-9113

Other identifiers 1

IdentifierTypeStateIssuer
1871823948MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20190315000436 DC Practitioner - Nurse Practitioner 0244424570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10680 Main St
Suite 130
Fairfax, VA 22030-3811
Phone (703) 544-9113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024168524VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony in Health LLC CurrentSince Jan 1, 2019 Accepting new patients
Pratt Medical Center LTD Past Accepting new patients
Pratt Medical Center LTD Past Accepting new patients

Locations

10560 Main St
Ste LL19
Fairfax, VA 22030
Phone (703) 544-9113

10680 Main St
Ste 130
Fairfax, VA 22030
Phone (703) 273-6802

Interoperability endpoints

  • Direct secure messaging: jessicahardynp@org130.direct.charmhealth.com

Organizations & group practices 3

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": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1871823948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10680 MAIN ST STE 130",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303811",
            "telephone_number": "703-544-9113",
            "fax_number": "703-544-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10680 MAIN ST STE 130",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303811",
            "telephone_number": "703-544-9113",
            "fax_number": "703-544-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871823948",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.