Individual provider Active NPI

Eunice N Esunge, N.P.

  • Family Nurse Practitioner
  • Stafford, VA
National Provider Identifier
1114473741
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024173793 Issued in VA
Practice address
422 Garrisonville Rd
Suite 101
Stafford, VA 22554-1573
Phone
(540) 657-9441
Fax
(540) 657-4366
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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 0024173793 VA Primary

Addresses

Primary practice location

422 Garrisonville Rd
Suite 101
Stafford, VA 22554-1573

Mailing address

422 Garrisonville Rd
Suite 101
Stafford, VA 22554-1573
Phone (540) 657-9441

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
I20161230000952 VA Practitioner - Nurse Practitioner 8426339623 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024173793VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stafford Urgent Care, Inc. CurrentSince Aug 1, 2016 Accepting new patients

Locations

422 Garrisonville Rd
Ste 111
Stafford, VA 22554
Phone (540) 657-9441

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1114473741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 GARRISONVILLE RD",
            "address_2": "SUITE 101",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541573",
            "telephone_number": "540-657-9441",
            "fax_number": "540-657-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 GARRISONVILLE RD",
            "address_2": "SUITE 101",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541573",
            "telephone_number": "540-657-9441",
            "fax_number": "540-657-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESUNGE",
        "first_name": "EUNICE",
        "middle_name": "N",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.