Individual provider Active NPI

Emily R Bukauskas, NP

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1033767413
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178138 Issued in VA
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

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
0024178138VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PL Pediatrics, PLLC CurrentSince Sep 1, 2019 Accepting new patients
PL Physicians, Inc. CurrentSince Sep 1, 2019 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.

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.

Verify at the official NPI Registry.