Individual provider Active NPI

Blandine Augustin, FNP

  • Family Nurse Practitioner
  • Alexandria, VA
National Provider Identifier
1063735744
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024169332 Issued in VA
Practice address
8350 Richmond Hwy Ste 301
Alexandria, VA 22309-2344
Phone
(703) 768-7044
NPI assigned
Mar 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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 AC000738 MD
Family Nurse Practitioner 363LF0000X 0024169332 VA Primary

Addresses

Primary practice location

8350 Richmond Hwy Ste 301
Alexandria, VA 22309-2344

Mailing address

8350 Richmond Hwy Ste 301
Alexandria, VA 22309-2344
Phone (703) 981-0708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20110504000315 VA Practitioner - Nurse Practitioner 7911182126 Reassigns benefits to 1 organization
I20110510000562 DC Practitioner - Nurse Practitioner 7911182126 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AC000738MDMDFamily Nurse Practitioner
0024169332VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Sep 26, 2016 Accepting new patients
Inova Health Care Services CurrentSince Sep 26, 2016 Accepting new patients
Inova Health Care Services CurrentSince Sep 26, 2016 Accepting new patients
Atlas Health, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8350 Richmond Hwy
Ste 301
Alexandria, VA 22309
Phone (703) 535-6913

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Interoperability endpoints

  • Direct secure messaging: blandine.augustin@778128272654340.direct.elationemr.com

Organizations & group practices 5

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": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1063735744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 RICHMOND HWY STE 301",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223092344",
            "telephone_number": "703-981-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 RICHMOND HWY STE 301",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223092344",
            "telephone_number": "703-768-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTIN",
        "first_name": "BLANDINE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC000738",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.