Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ashley Vazana

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1386462224

Ashley Vazana is a Nurse Practitioner in Fairfax, Virginia. Graduated from East Tennessee State University Quillen College of Medicine in 2024, 2 years ago. Practices with Revive Behavioral Health, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
2
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
VA
In the registry since
2024
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Practice location Address checks out

8900 Glade Hill Rd
Fairfax, VA 22031-3222
Phone: (202) 320-1136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024190582 (VA)

Record details

NPI number1386462224
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 30, 2024
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024
Mailing address8900 Glade Hill Rd, Fairfax, VA 22031-3222

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Revive Behavioral Health — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fairfax