Active NPI
Bridget C. Diakun, FNP-BC
- Family Nurse Practitioner
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024177321
- Practice address
- 1800 Timberwood Blvd Ste a
Charlottesville, VA 22911-7544 - Phone
- (434) 305-0501
- Fax
- (844) 429-0456
- NPI assigned
- Oct 12, 2017
- Last updated
- Feb 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AC002109 | MD | |
| Family Nurse Practitioner | 363LF0000X | RN1026441 | DC | |
| Family Nurse Practitioner | 363LF0000X | 0024177321 | VA | Primary |
Addresses
Primary practice location
1800 Timberwood Blvd Ste a
Charlottesville, VA 22911-7544
Mailing address
120 Witton CT Apt 202
Charlottesville, VA 22903-6412
Phone (860) 707-5715
Other practice location 1
5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone (202) 537-4000
Other practice location 2
8401 Connecticut Ave Ste 201
Chevy Chase, MD 20815-5829
Phone (301) 907-3960
Other names 1
- Bridget C. Vaughn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Virginia School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 Timberwood Blvd
Charlottesville, VA 22911-7544
Phone (434) 305-0501
8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Wholehealth Medical | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients |
Locations
8401 Connecticut Ave
Ste 201
Chevy Chase, MD 20815
Phone (301) 907-3960
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065
1800 Timberwood Blvd
Ste A
Charlottesville, VA 22911
Phone (434) 305-0501
8644 Sudley Rd
#220
Manassas, VA 20110
Interoperability endpoints
- bridget.vaughn.2@8042.direct.athenahealth.com
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Charlottesville, VA
- NPI 1598225955
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1346248663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1124539572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 WITTON CT APT 202",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229036412",
"telephone_number": "860-707-5715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 TIMBERWOOD BLVD STE A",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229117544",
"telephone_number": "434-305-0501",
"fax_number": "844-429-0456"
}
],
"practiceLocations": [
{
"address_1": "5255 Loughboro Rd NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200162633",
"country_code": "US",
"telephone_number": "202-537-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8401 Connecticut Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Chevy Chase",
"state": "MD",
"postal_code": "208155829",
"country_code": "US",
"telephone_number": "301-907-3960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAKUN",
"first_name": "BRIDGET",
"middle_name": "C.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-12",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "AC002109",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "RN1026441",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024177321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIDGET",
"last_name": "VAUGHN",
"middle_name": "C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.