Active NPI
Emily R Bukauskas, NP
- Family Nurse Practitioner
- Fredericksburg, VA
National Provider Identifier
1033767413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024178138
- Practice address
- 4550 Empire CT
Fredericksburg, VA 22408-1939 - Phone
- (540) 361-1800
- NPI assigned
- Aug 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024178138 | VA | Primary |
Addresses
Primary practice location
4550 Empire CT
Fredericksburg, VA 22408-1939
Mailing address
15319 Edgehill Dr
Dumfries, VA 22025-1034
Phone (540) 424-5429
Other names 1
- Miss Emily R Koperniak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024178138 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PL Pediatrics, PLLC | Current | Accepting new patients | |
| PL Physicians, Inc. | Current | Accepting new patients |
Locations
4550 Empire Ct
Fredericksburg, VA 22408
Phone (540) 361-1800
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Fredericksburg, VA
- NPI 1518998236
-
- Pediatrics Physician
- Fredericksburg, VA
- NPI 1972530210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1033767413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15319 EDGEHILL DR",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220251034",
"telephone_number": "540-424-5429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 EMPIRE CT",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224081939",
"telephone_number": "540-361-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUKAUSKAS",
"first_name": "EMILY",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-29",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024178138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "KOPERNIAK",
"middle_name": "R",
"prefix": "MISS",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.