Active NPI
Kathleen Joanne Buranych, N.P.
- Acute Care Clinical Nurse Specialist
- Fairfax, VA
National Provider Identifier
1104113182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Clinical Nurse Specialist
- License
- 000192939
- Practice address
- 3900 Jermantown Rd. Suite 460
Heartland Home Health
Fairfax, VA 22030 - Phone
- (540) 272-7415
- NPI assigned
- Jun 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Clinical Nurse Specialist | 364SA2100X | 000192939 | VA | Primary |
Addresses
Primary practice location
3900 Jermantown Rd. Suite 460
Heartland Home Health
Fairfax, VA 22030
Mailing address
3900 Jermantown Rd. Suite 460
Heartland Home Health
Fairfax, VA 22030
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000192939 | VA | MD | Acute Care Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309305600000",
"number": "1104113182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 JERMANTOWN RD. SUITE 460",
"address_2": "HEARTLAND HOME HEALTH",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 JERMANTOWN RD. SUITE 460",
"address_2": "HEARTLAND HOME HEALTH",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22030",
"telephone_number": "540-272-7415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURANYCH",
"first_name": "KATHLEEN",
"middle_name": "JOANNE",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-29",
"last_updated": "2011-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2100X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Acute Care",
"state": "VA",
"license": "000192939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.