Emily Fadul, DNP FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024187640 Issued in VA

Practice address

10610 Vickers Dr
Vienna, VA 22181-3029

Phone

(440) 364-6606

NPI assigned

Jul 26, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, OH2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22351/brand/1/csg/1/fhir/r4
• Direct secure messaging: emily.fadul.1@23535.direct.athenahealth.com

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.

• Copilotiq, PC

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1316527203

  FL, OH

  Medicare reassignment NPD
• Copilotiq Medical PA

  • Primary Care Clinic/Center
  • Nashville, TN
  • NPI 1144969767
  NPD (past)

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1104507870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10610 VICKERS DR",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221813029",
            "telephone_number": "440-364-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10610 VICKERS DR",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221813029",
            "telephone_number": "440-364-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADUL",
        "first_name": "EMILY",
        "credential": "DNP FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "34621",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Excel Dermatology Institute
• Exploration Counseling LLC
• Eyad Albarq DDS., PC
• Jayashree Ezhilarasu
• F. Iravani DMD PLLC
• Fairfax Family Practice Centers PC
• Fairfax Internal Medicine Associates, PC
• Fairfax Radiological Consultants PC
• Faith and Trust Psychiatric Living
• Faiz M. Behsudi, M.D. & Associates, P.C.

• Family Nurse Practitioner in Vienna, VA
• Providers in Vienna, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.