Individual provider Active NPI

Lauren Landry Stollar, CRNP

  • Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1871978759
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024173223 Issued in VA
Practice address
8260 Willow Oaks Corporate Dr Ste 400
Fairfax, VA 22031-4513
Phone
(703) 573-0504
Fax
(703) 573-4856
NPI assigned
Jul 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pediatric Nurse Practitioner 363LP0222X 0024173223 VA
Critical Care Pediatric Nurse Practitioner 363LP0222X AC001573 MD
Nurse Practitioner 363L00000X 0024173223 VA Primary

Addresses

Primary practice location

8260 Willow Oaks Corporate Dr Ste 400
Fairfax, VA 22031-4513

Mailing address

7206 Gordons Rd
Falls Church, VA 22043-3034
Phone (703) 589-3277

Other practice location 1

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-6053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160404001799 DC Practitioner - Nurse Practitioner 0648577767 Reassigns benefits to 1 organization
I20160518000344 VA Practitioner - Nurse Practitioner 0648577767 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024173223VAMDNurse Practitioner
AC001573MDMDCritical Care Pediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Mar 14, 2016 Accepting new patients
Inova Health Care Services CurrentSince Mar 14, 2016 Accepting new patients
Inova Health Care Services CurrentSince Mar 14, 2016 Accepting new patients

Locations

8260 Willow Oaks Corporate Dr
Ste 400
Fairfax, VA 22031
Phone (703) 560-2236

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Interoperability endpoints

  • Direct secure messaging: lstollar208956@soc.inova.org

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": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1871978759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7206 GORDONS RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433034",
            "telephone_number": "703-589-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 WILLOW OAKS CORPORATE DR STE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314513",
            "telephone_number": "703-573-0504",
            "fax_number": "703-573-4856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-6053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOLLAR",
        "first_name": "LAUREN",
        "middle_name": "LANDRY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "VA",
            "license": "0024173223",
            "primary": false
        },
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "MD",
            "license": "AC001573",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024173223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.