Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558765636 Individual Practitioner Female Practitioner

Amy Brozick Jacobson , CPNP-BC

Nurse Practitioner - Pediatrics • Reston, VA

Professional Overview & Biography Verified Profile Summary

Amy Jacobson, CPNP-BC is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Reston, VA. Practice services are available at 1830 TOWN CENTER DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1830 Town Center Drive
Suite 205

Reston, VA 20190

Telephone 7034353636
Fax 7034359145
Associated Practice Facility / Clinic
🏢 Pet Of Reston, Lp Facility NPI 1922024041

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Reston, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Reston, VA (606 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-11
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License VA 0024171122

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Nancy Darmory , CPNP

Nurse Practitioner - Pediatrics

NPI 1104049584

Certified Pediatric Nurse Practitioner

NPI 1134001126
NPI 1144960840

Doctor of Medicine (M.D.)

NPI 1194787531

Doctor of Medicine (M.D.)

NPI 1205898640

Doctor of Medicine (M.D.)

NPI 1285212357

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location October 16, 2024

Registered at 1830 TOWN CENTER DRIVE, SUITE 205, RESTON, VA 20190 (Tel: 7034353636)

📍
Updated Business Mailing Address October 16, 2024

Registered at 1100 CLARKE STREET, HERNDON, VA 20170 (Tel: 4122156709)

👤
Provider Name / Credentials Updated October 16, 2024

Recorded as AMY JACOBSON, CPNP-BC

📍
Updated Practice Location October 08, 2024

Registered at 1830 TOWN CENTER DR., UNIT 205, RESTON, VA 20190 (Tel: 7034353636)

📍
Updated Business Mailing Address October 08, 2024

Registered at 1100 CLARKE ST, HERNDON, VA 20170 (Tel: 4122156709)

👤
Provider Name / Credentials Updated October 08, 2024

Recorded as AMY JACOBSON, CPNP

NPI Profile Active October 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2014

Registered at 8640 SUDLEY RD, SUITE 306, MANASSAS, VA 201104420 (Tel: 7033303939)

📍
Updated Business Mailing Address October 17, 2014

Registered at 8640 SUDLEY ROAD, SUITE 306, MANASSAS, VA 20110 (Tel: 7033303939)

👤
Provider Name / Credentials Updated October 17, 2014

Recorded as AMY BROZICK, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2014

Nurse Practitioner (License #0024171122 in VA)

🟢
Initial NPI Registration & Enumeration October 17, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Amy Jacobson. Be the first to share your experience!

Sign in to leave a review for Amy Jacobson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1558765636
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2014
Last Update: October 16, 2024
Sole Proprietor: No

Mailing Address

1100 Clarke Street

Herndon, VA 20170

Phone: 4122156709

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.