Individual provider Active NPI

Ashley Cadwallader Jeniec, C-PNP

  • Pediatric Nurse Practitioner
  • Warrenton, VA
National Provider Identifier
1891289807
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024176234 Issued in VA
Practice address
28 Blackwell Park LN Ste 103
Warrenton, VA 20186-2686
Phone
(540) 349-3225
NPI assigned
Jun 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024176234 VA Primary

Addresses

Primary practice location

28 Blackwell Park LN Ste 103
Warrenton, VA 20186-2686

Mailing address

7422 Leeds Manor Rd
Marshall, VA 20115-2218
Phone (703) 927-6354

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

State licenses

LicenseStateTypeSpecialty
0024176234VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fauquier Physician Practices LLC Past Accepting new patients
Warrenton Pediatrics, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ashley.jeniec.p13@direct.warrentonpeds.nextgenshare.com

Organizations & group practices 2

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": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1891289807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7422 LEEDS MANOR RD",
            "city": "MARSHALL",
            "state": "VA",
            "postal_code": "201152218",
            "telephone_number": "703-927-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BLACKWELL PARK LN STE 103",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862686",
            "telephone_number": "540-349-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENIEC",
        "first_name": "ASHLEY",
        "middle_name": "CADWALLADER",
        "credential": "C-PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024176234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.

Verify at the official NPI Registry.