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

Gena E Leatzow, FNP

Individual provider Family Nurse Practitioner · NPI 1174001747

Gena E Leatzow, FNP is a Nurse Practitioner in Reston, Virginia. Qualified in 2018, 8 years ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
8
Licensed in
VA
In the registry since
2018
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

11800 Sunrise Valley Dr Ste 700
Reston, VA 20191-5315
Phone: (703) 834-1473
Fax: (703) 318-7463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13031 Lee Jackson Hwy, Fairfax, VA 22033-2050 — (703) 378-7550

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024176393 (VA)

Record details

NPI number1174001747
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 5, 2018
Last updated in NPPESFebruary 2, 2021
Certification dateFebruary 2, 2021
Mailing addressPo Box 37189, Baltimore, MD 21297-3189

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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