Individual provider Active NPI

Peggy J Budnik, CFNP

  • Family Medicine Physician
  • Woodbridge, VA
National Provider Identifier
1043219025
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0024057411 Issued in VA
Practice address
3401 Commission CT
Ste 201
Woodbridge, VA 22192-1771
Phone
(703) 490-6265
Fax
(703) 490-6713
NPI assigned
Jul 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0024057411 VA Primary

Addresses

Primary practice location

3401 Commission CT
Ste 201
Woodbridge, VA 22192-1771

Mailing address

3401 Commission CT
Ste 201
Woodbridge, VA 22192-1771
Phone (703) 490-6265

Other identifiers 1

IdentifierTypeStateIssuer
77-8180-6MedicaidVA

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)
Enrolled

Interoperability endpoints

  • Direct secure messaging: peggy.budnik.1@17026.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1043219025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 COMMISSION CT",
            "address_2": "STE 201",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221921771",
            "telephone_number": "703-490-6265",
            "fax_number": "703-490-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 COMMISSION CT",
            "address_2": "STE 201",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221921771",
            "telephone_number": "703-490-6265",
            "fax_number": "703-490-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDNIK",
        "first_name": "PEGGY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0024057411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77-8180-6",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.