Individual provider Active NPI

Betty Tasie, NP

  • Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1992132310
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
002417114 Issued in VA
Practice address
12701 Marblestone Dr
Suite 130
Woodbridge, VA 22192-8325
Phone
(571) 284-4350
Fax
(703) 580-4990
NPI assigned
Sep 30, 2013
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 002417114 VA Primary
Family Nurse Practitioner 363LF0000X RN1025453 DC

Addresses

Primary practice location

12701 Marblestone Dr
Suite 130
Woodbridge, VA 22192-8325

Mailing address

11521 Swanson Mill Way
Glen Allen, VA 23059-4850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20131217001961 VA Practitioner - Nurse Practitioner 9234366337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh-VA Physicians Group PLLCGroup PAC ID 3274994470, 18 clinicians

Practice addresses (Care Compare)

5246 Chamberlayne Rd
Richmond, VA 23227-2950
Phone (804) 913-7029

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002417114VAMDNurse Practitioner
RN1025453DCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-VA Physicians Group PLLC Nurse Practitioner CurrentSince Jan 5, 2026 Accepting new patients
Dominion Medical Associates, Inc Current Accepting new patients
Nova Physician Group PLLC Nurse Practitioner PastSince May 12, 2024 Accepting new patients

Locations

3900 Hull St Rd
Richmond, VA 23224
Phone (804) 292-7620

5246 Chamberlayne Rd
Richmond, VA 23227
Phone (804) 913-7029

Interoperability endpoints

  • Direct secure messaging: bettytasie@dmna.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1992132310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11521 SWANSON MILL WAY",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230594850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 MARBLESTONE DR",
            "address_2": "SUITE 130",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928325",
            "telephone_number": "571-284-4350",
            "fax_number": "703-580-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASIE",
        "first_name": "BETTY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "002417114",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1025453",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.