Individual provider Active NPI

Vivian Endoso Buenafe, FNP

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1184138745
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024175626 Issued in VA
Practice address
1511 Jefferson Davis Hwy
Fredericksburg, VA 22401-4683
Phone
(866) 389-2727
NPI assigned
Nov 18, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 0024175626 VA Primary

Addresses

Primary practice location

1511 Jefferson Davis Hwy
Fredericksburg, VA 22401-4683

Mailing address

1511 Jefferson Davis Hwy
Fredericksburg, VA 22401-4683
Phone (866) 389-2727

Other practice location 1

8020 Lawford Hills Ct
Glen Allen, VA 23060-2270
Phone (804) 549-8670

Other practice location 2

8020 Lawford Hills Ct
Glen Allen, VA 23060-2270
Phone (804) 549-8670

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
I20180504001752 VA Practitioner - Nurse Practitioner 6507128154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Virginia Carenow Urgent Care LLCGroup PAC ID 4284902057, 55 clinicians

Practice addresses (Care Compare)

5215 W Broad St
Richmond, VA 23230-3009
Phone (804) 554-5688

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024175626VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Carenow Urgent Care, LLC Single Specialty CurrentSince Dec 20, 2022 Accepting new patients
Emergency Physicians Immediate Care Center 2 LLC Single Specialty CurrentSince Dec 20, 2022 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

5215 W Broad St
Richmond, VA 23230
Phone (804) 554-5688

46200 Potomac Run Plz
Sterling, VA 20164
Phone (571) 313-5087

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1510963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1184138745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 JEFFERSON DAVIS HWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014683",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 JEFFERSON DAVIS HWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014683",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8020 Lawford Hills Ct",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230602270",
            "country_code": "US",
            "telephone_number": "804-549-8670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8020 Lawford Hills Ct",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230602270",
            "country_code": "US",
            "telephone_number": "804-549-8670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUENAFE",
        "first_name": "VIVIAN",
        "middle_name": "ENDOSO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.