Individual provider Active NPI

Betsy Giannuzzi, MS, CRNP

  • Pediatric Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1164553442
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024066445 Issued in VA
Practice address
1900 Opitz Blvd Ste a
Woodbridge, VA 22191
Phone
(703) 494-0912
Fax
(703) 494-2642
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024066445 VA Primary

Addresses

Primary practice location

1900 Opitz Blvd Ste a
Woodbridge, VA 22191

Mailing address

237 Garrisonville Rd Ste 102
Stafford, VA 22554-1553
Phone (540) 659-1100

Other practice location 1

7015C Manchester Blvd
Alexandria, VA 22310-3253
Phone (703) 971-6900

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0024066445VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Krishnan S. Kumar, M.D., P.C. Past Accepting new patients

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1164553442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 GARRISONVILLE RD STE 102",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541553",
            "telephone_number": "540-659-1100",
            "fax_number": "540-602-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 OPITZ BLVD STE A",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22191",
            "telephone_number": "703-494-0912",
            "fax_number": "703-494-2642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7015C Manchester Blvd",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223103253",
            "country_code": "US",
            "telephone_number": "703-971-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIANNUZZI",
        "first_name": "BETSY",
        "name_prefix": "Mrs.",
        "credential": "MS, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024066445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.