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

Dr. Shaquilla Vazquez, DNPCRNPFNP-BCFNPC

Individual provider Family Nurse Practitioner · NPI 1538869789

Dr. Shaquilla Vazquez, DNPCRNPFNP-BCFNPC is a Nurse Practitioner in Fairfax, Virginia. Qualified in 2023, 3 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Delaware, Kentucky, Maryland and Ohio and 2 more.

Years since qualifying
3
Licensed in
DE, KY, MD, OH, TX, VA
In the registry since
2023
Specialties on file
6
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Practice location Address checks out

11166 Fairfax Blvd Ste 500
Fairfax, VA 22030-5017
Phone: (301) 715-3010
Fax: (410) 220-8162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12530 Fairwood Pkwy Ste 102, Bowie, MD 20720-6357 — (301) 715-3010

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R193829 (MD)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence LG-0013304 (DE)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.0036121 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4027887 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024189531 (VA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1178967 (TX)

Record details

NPI number1538869789
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNPCRNPFNP-BCFNPC
Sole proprietorNo
NPI enumeratedMarch 7, 2023
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Fairfax