Individual provider Active NPI

Danielle Vukadinovich, FNP-C

  • Family Nurse Practitioner
  • Alexandria, VA
National Provider Identifier
1073991683
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024172574 Issued in VA
Practice address
1636 Belle View Blvd
Alexandria, VA 22307-6531
Phone
(703) 768-7044
NPI assigned
May 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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 0024172574 VA Primary

Addresses

Primary practice location

1636 Belle View Blvd
Alexandria, VA 22307-6531

Mailing address

1200 N Hartford St
Unit 210
Arlington, VA 22201-7016
Phone (571) 212-4142

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024172574VAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: danielle.vukadinovich.1@29379.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1073991683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N HARTFORD ST",
            "address_2": "UNIT 210",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222017016",
            "telephone_number": "571-212-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 BELLE VIEW BLVD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223076531",
            "telephone_number": "703-768-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUKADINOVICH",
        "first_name": "DANIELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.