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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EMILY DETTBARN
NPI 1023969417
Nurse Practitioner - Primary Care in Fairfax, VA

Active since February 03, 2026
2710 PROSPERITY AVE, FAIRFAX, VA 22031(702) 289-1290 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2026, Feb 3, 2026 (2 updates tracked since 2026).

About Emily Dettbarn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMILY DETTBARN (NPI 1023969417) is an individual primary care provider in Fairfax, Virginia, licensed in Virginia (0024198237) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1023969417
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameEMILY DETTBARN
Location Address2710 PROSPERITY AVEFairfax, VA 22031-4357
Mailing Address4439 Rosenwald LnFairfax, VA 22030-5194
Phone(702) 289-1290
Sole ProprietorNo
Enumeration DateFebruary 3, 2026
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1023969417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in VA · 0024198237
2710 PROSPERITY AVE, Fairfax, VA 22031
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHERINE W KHALIFEH MD
Colon & Rectal Surgery
2710 PROSPERITY AVE, SUITE 200
FAIRFAX, VA 22031
Fairfax County (703) 280-2841
ELIZABETH KLAES YORK PA-C
Physician Assistant
2710 PROSPERITY AVE, SUITE 200
FAIRFAX, VA 22031
Fairfax County (703) 280-2841
NORTHERN VIRGINIA EYE SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
2710 PROSPERITY AVE, SUITE 150
FAIRFAX, VA 22031
Fairfax County (703) 289-1290
DR. JOHN DAVID TILLOU MD
Colon & Rectal Surgery
2710 PROSPERITY AVE, STE 200
FAIRFAX, VA 22031
Fairfax County (703) 280-2841
DR. CAROLINE SANCHEZ M.D.
Colon & Rectal Surgery
2710 PROSPERITY AVE, SUITE 200
FAIRFAX, VA 22031
Fairfax County (703) 280-2841
KIMBERLY ANN MATZIE MD
Colon & Rectal Surgery
2710 PROSPERITY AVE, SUITE 200
FAIRFAX, VA 22031
Fairfax County (703) 280-2841

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Dettbarn's NPI number?

The NPI number for Emily Dettbarn is 1023969417. It was assigned to this individual provider in the NPPES registry on February 3, 2026.

Where is Emily Dettbarn located?

Emily Dettbarn practices at 2710 Prosperity Ave, Fairfax, VA 22031. The listed phone number is (702) 289-1290.

What is Emily Dettbarn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Emily Dettbarn was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.