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

Dr. Ashley Tennyson, MD

Individual provider Family Medicine Physician · NPI 1811283385

Dr. Ashley Tennyson, MD is a Family Practice in Fairfax, Virginia. Qualified in 2011, 15 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
15
Licensed in
VA
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12255 Fair Lakes Pkwy
Fairfax, VA 22033-3952
Phone: (703) 359-7878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0116023409 (VA)

Record details

NPI number1811283385
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 23, 2011
Last updated in NPPESJune 29, 2021
Certification dateJune 29, 2021
Mailing address12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Fairfax