Individual provider Active NPI

Bridget C. Diakun, FNP-BC

  • Family Nurse Practitioner
  • Charlottesville, VA
National Provider Identifier
1124539572
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024177321 Issued in VA
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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

Enrollment IDStateProvider typePAC IDDetails
I20171226000151 DC Practitioner - Nurse Practitioner 9739447616 Reassigns benefits to 1 organization
I20190724004149 VA Practitioner - Nurse Practitioner 9739447616 Reassigns benefits to 1 organization

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
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

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

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 28, 2017 Accepting new patients
Wholehealth Medical Current Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 28, 2017 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

  • Direct secure messaging: bridget.vaughn.2@8042.direct.athenahealth.com
  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.