Active NPI
Avea Wellness & Rejuvenation
- Family Nurse Practitioner
- Manassas, VA
National Provider Identifier
1902729411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- AVEA WELLNESS & REJUVENATION
- Practice address
- 9720 Capital CT Ste 301
Manassas, VA 20110-2051 - Phone
- (571) 496-8333
- NPI assigned
- Aug 1, 2026
- Last updated
- Sep 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Gasque, NP
- Title
- Owner/Practitioner
- Phone
- (843) 453-4839
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
9720 Capital CT Ste 301
Manassas, VA 20110-2051
Mailing address
14497 Potomac Mills Rd Ste 1004
Woodbridge, VA 22192-6807
Phone (843) 453-4839
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Manassas, VA
- NPI 1598358608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790121600000",
"number": "1902729411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14497 POTOMAC MILLS RD STE 1004",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221926807",
"telephone_number": "843-453-4839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9720 CAPITAL CT STE 301",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201102051",
"telephone_number": "571-496-8333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVEA WELLNESS & REJUVENATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-01",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A",
"authorized_official_last_name": "GASQUE",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER/PRACTITIONER",
"authorized_official_telephone_number": "843-453-4839",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.