IndividualActive
Jessica Hively, MSN, RN, PMHNP-BC
NPI 1154791507 · Psychiatric/Mental Health Nurse Practitioner · Fairfax, VA
Provider details
- NPI number
- 1154791507
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, RN, PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 0001323812 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4400 University Dr
Fairfax, VA 22030-4445
Phone: (703) 993-2380
Fax: (703) 993-2378
Street-level locationGet directions
Mailing address
9900 Main St Ste 400
Fairfax, VA 22031-3907
Additional practice locations (1)
- 9900 Main St Ste 400Fairfax, VA 22031-3907Phone: (703) 993-1370Fax: (703) 993-1376
Registry dates
- Enumerated
- 2015-09-28
- Last updated
- 2025-09-30
- Certified
- 2025-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.