Individual provider Active NPI

Erin Rudiak, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1013540319
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024186646 Issued in VA
Practice address
9401 Route 29
Fairfax, VA 22031-1849
Phone
(703) 383-4836
NPI assigned
Feb 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8728 CT
Family Nurse Practitioner 363LF0000X 0024186646 VA Primary

Addresses

Primary practice location

9401 Route 29
Fairfax, VA 22031-1849

Mailing address

9401 Route 29 Ste 400
Fairfax, VA 22031-1847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230424001619 DC Practitioner - Nurse Practitioner 7012372279 Reassigns benefits to 1 organization
I20230426000584 VA Practitioner - Nurse Practitioner 7012372279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

9401 Lee Hwy 400
Fairfax, VA 22031-1847
Phone (703) 383-4836

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8728CTMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Apr 1, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 1, 2023 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

9401 Route 29
Ste 400
Fairfax, VA 22031

44160 Scholar Plz
Ste 450
Leesburg, VA 20176
Phone (703) 450-8660

8644 Sudley Rd
#220
Manassas, VA 20110

2070 Chain Bridge Rd
Ste 150
Vienna, VA 22182
Phone (703) 794-5376

1880 Howard Ave
Ste 202
Vienna, VA 22182
Phone (202) 880-5007

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/3322/brand/1/csg/1/fhir/r4
  • Direct secure messaging: erin.rudiak.1@8042.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1013540319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 ROUTE 29 STE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 ROUTE 29",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311849",
            "telephone_number": "703-383-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDIAK",
        "first_name": "ERIN",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-15",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8728",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024186646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.