Active NPI
Allison Koutsandreas, FNP-BC
- Family Nurse Practitioner
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024174490
- Practice address
- 8081 Innovation Park Dr Ste 900
Fairfax, VA 22031-4867 - Phone
- (571) 423-4200
- Fax
- (571) 472-4201
- NPI assigned
- Feb 15, 2017
- Last updated
- Sep 23, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2016016265 | MD | |
| Family Nurse Practitioner | 363LF0000X | 0024174490 | VA | Primary |
Addresses
Primary practice location
8081 Innovation Park Dr Ste 900
Fairfax, VA 22031-4867
Mailing address
PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213293228 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Marymount University, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Inova Health Care Services
Practice addresses (Care Compare)
3800 Fettler Park Dr
Suite 312
Dumfries, VA 22025-2043
Phone (571) 472-6791
8081 Innovation Park Dr
Suite 900
Fairfax, VA 22031-4867
Phone (571) 472-4100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016016265 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Faculty Associates, Inc | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients |
Locations
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
1500 N Beauregard St
Ste 300
Alexandria, VA 22311
Phone (703) 845-1500
4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000
3800 Fettler Park Dr
Ste 312
Dumfries, VA 22025
Phone (571) 472-6791
3620 Joseph Siewick Dr
Ste 400
Fairfax, VA 22033
Phone (703) 264-7801
8081 Innovation Park Dr
Ste 900
Fairfax, VA 22031
Phone (571) 472-4200
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
44055 Riverside Pkwy
Ste 110
Leesburg, VA 20176
Phone (703) 391-4500
Interoperability endpoints
- akoutsandreas1091282@soc.inova.org
- akoutsandreas19696@gwmfa.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
-
dba Inova Juniper Program
- Multi-Specialty Clinic/Center
- Fairfax, VA
- NPI 1669511051
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Fairfax Hospital
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
dba Inova Fairfax Hospital
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1972042596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37174",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973174",
"telephone_number": "571-423-5699",
"fax_number": "571-423-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8081 INNOVATION PARK DR STE 900",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314867",
"telephone_number": "571-423-4200",
"fax_number": "571-472-4201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOUTSANDREAS",
"first_name": "ALLISON",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-15",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "2016016265",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024174490",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "213293228",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.