Healthcare Provider Details

I. General information

NPI: 1477149052
Provider Name (Legal Business Name): CATHERINE M LANCASTER DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2020
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1892 PRESTON WHITE DR
RESTON VA
20191-5497
US

IV. Provider business mailing address

1892 PRESTON WHITE DR
RESTON VA
20191-5497
US

V. Phone/Fax

Practice location:
  • Phone: 571-786-1492
  • Fax: 833-974-5141
Mailing address:
  • Phone: 571-786-1492
  • Fax: 833-974-5141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001271588
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN1032767
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024181526
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: