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

Jacqueline Kathy Tellez

Individual provider Family Nurse Practitioner · NPI 1790408961

Jacqueline Kathy Tellez is a Nurse Practitioner in Arlington, Virginia. Qualified in 2021, 5 years ago. Practices with Fast Pace Medical Clinic PLLC, a 738-clinician group and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
5
Licensed in
TN, VA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1101 Wilson Blvd Fl 6
Arlington, VA 22209-2281
Phone: (888) 731-8994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024188373 (VA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0000031726 (TN)

Record details

NPI number1790408961
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 22, 2022
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Fast Pace Medical Clinic Pllc — 738 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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