Individual provider Active NPI

Cathy Haugen, FNP-C

  • Family Nurse Practitioner
  • Brambleton, VA
National Provider Identifier
1053205674
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024192650 Issued in VA
Practice address
22895 Brambleton PLZ Ste 200
Brambleton, VA 20148-4878
Phone
(703) 722-2312
Fax
(703) 722-2317
NPI assigned
Jun 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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 0024192650 VA Primary

Addresses

Primary practice location

22895 Brambleton PLZ Ste 200
Brambleton, VA 20148-4878

Mailing address

22895 Brambleton PLZ Ste 200
Brambleton, VA 20148-4878
Phone (703) 722-2312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251121002504 VA Practitioner - Nurse Practitioner 8921590571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairfax Family Practice Centers PCGroup PAC ID 4082513031, 106 clinicians

Practice addresses (Care Compare)

22895 Brambleton PLZ
Suite 200
Brambleton, VA 20148-4878
Phone (703) 481-1505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024192650VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax Family Practice Centers PC Family CurrentSince Aug 25, 2025 Accepting new patients

Locations

20905 Professional Plz
Ste 330
Ashburn, VA 20147
Phone (703) 726-0003

22895 Brambleton Plz
Ste 200
Brambleton, VA 20148
Phone (703) 220-0779

Interoperability endpoints

  • Direct secure messaging: chaugen521867@soc.inova.org

Organizations & group practices 1

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": "1749168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1053205674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22895 BRAMBLETON PLZ STE 200",
            "city": "BRAMBLETON",
            "state": "VA",
            "postal_code": "201484878",
            "telephone_number": "703-722-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22895 BRAMBLETON PLZ STE 200",
            "city": "BRAMBLETON",
            "state": "VA",
            "postal_code": "201484878",
            "telephone_number": "703-722-2312",
            "fax_number": "703-722-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGEN",
        "first_name": "CATHY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-06",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024192650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brambleton, VA

Sources for this page

Verify at the official NPI Registry.