Active NPI
Nicole Leslie Dease, NP
- Acute Care Nurse Practitioner
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- RN1046412
- Practice address
- 3800 Reservoir Rd NW
Washington, DC 20007-2113 - Phone
- (202) 444-2000
- NPI assigned
- Apr 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN1046412 | DC | Primary |
Addresses
Primary practice location
3800 Reservoir Rd NW
Washington, DC 20007-2113
Mailing address
5850 Cameron Run Ter Apt 215
Alexandria, VA 22303-2715
Phone (609) 457-7120
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1046412 | DC | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Associates of Northern Virginia, LLC | Current | Accepting new patients | |
| Kesani Essentials Wellness and Aesthetics Medspa PLLC | Current | Accepting new patients | |
| Old Dominion Anesthesia LLC | Past | Accepting new patients |
Locations
6911 Richmond Hwy
Ste 301A
Alexandria, VA 22306
Phone (703) 215-7957
3700 Joseph Siewick Dr
Ste 308
Fairfax, VA 22033
Phone (703) 716-8700
3022 Williams Dr
Ste 301
Fairfax, VA 22031
Phone (703) 698-1775
24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400
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.
-
- Gastroenterology Physician
- Fairfax, VA
- NPI 1205884368
DC
-
- Nurse Practitioner
- Alexandria, VA
- NPI 1477379436
-
- Anesthesiology Physician
- Charlottesville, VA
- NPI 1902248677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556409600000",
"number": "1972167666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5850 CAMERON RUN TER APT 215",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223032715",
"telephone_number": "609-457-7120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 RESERVOIR RD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200072113",
"telephone_number": "202-444-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEASE",
"first_name": "NICOLE",
"middle_name": "LESLIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-28",
"last_updated": "2019-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "DC",
"license": "RN1046412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2019; 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.