Individual provider Active NPI

Manpreet Kaur, NP

  • Family Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1194406959
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024187609 Issued in VA
Practice address
1916 Opitz Blvd
Woodbridge, VA 22191-3304
Phone
(703) 214-9773
NPI assigned
Jul 26, 2023
Last updated
Jul 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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 0024187609 VA Primary

Addresses

Primary practice location

1916 Opitz Blvd
Woodbridge, VA 22191-3304

Mailing address

3087 American Eagle Blvd
Woodbridge, VA 22191-6558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20230918002376 VA Practitioner - Nurse Practitioner 7911361324 Reassigns benefits to 1 organization
I20230920004423 DC Practitioner - Nurse Practitioner 7911361324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millenium Medical CorpGroup PAC ID 9335201177, 17 clinicians

Practice addresses (Care Compare)

13168 Centerpointe Way
Suite 101
Woodbridge, VA 22193-5287
Phone (703) 730-2000

6356 Hoadly Rd
Manassas, VI 20112-3422

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024187609VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Millenium Medical Corp CurrentSince Oct 1, 2023 Accepting new patients

Locations

1043 Sterling Rd
Ste 104
Herndon, VA 20170
Phone (703) 689-0111

6356 Hoadly Rd
Manassas, VA 20112
Phone (703) 590-5999

13168 Centerpointe Way
Ste 101
Woodbridge, VA 22193
Phone (703) 730-2000

Interoperability endpoints

  • Direct secure messaging: manpreet.kaur.1@16257.direct.athenahealth.com

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, 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": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1194406959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3087 AMERICAN EAGLE BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 OPITZ BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913304",
            "telephone_number": "703-214-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "MANPREET",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.