Individual provider Active NPI

Gulnara Charipova

  • Family Nurse Practitioner
  • Reston, VA
National Provider Identifier
1225510027
Registry record updated Mar 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024180533 Issued in VA
Practice address
1850 Town Center Pkwy Ste 412
Reston, VA 20190-3300
Phone
(703) 689-9379
Fax
(703) 639-9569
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AC002385 MD
Family Nurse Practitioner 363LF0000X 0024180533 VA Primary

Addresses

Primary practice location

1850 Town Center Pkwy Ste 412
Reston, VA 20190-3300

Mailing address

20611 Duxbury Ter
Ashburn, VA 20147-3251
Phone (703) 407-3977

Other names 1

  • Gulnara Charipova Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20190219003320 DC Practitioner - Nurse Practitioner 4284972175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Physicians of Northern Virginia LLCGroup PAC ID 6709923915, 9 clinicians

Practice addresses (Care Compare)

1860 Town Ctr Dr
Suite 440
Reston, VA 20190-5908
Phone (571) 554-8950

Hospital & facility affiliations

  • Reston Hospital Center Hospital, Reston, VA, CCN 490107

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Northern Virginia, LLC CurrentSince Jan 21, 2023 Accepting new patients
Virginia Head and Neck Surgeons PC PastSince Mar 19, 2023 Accepting new patients

Locations

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

1860 Town Center Dr
Ste 440
Reston, VA 20190
Phone (571) 554-8950

1860 Town Center Dr
Ste G100
Reston, VA 20190
Phone (703) 433-8700

1850 Town Center Pkwy
Ste 412
Reston, VA 20190
Phone (703) 689-9108

Interoperability endpoints

  • Direct secure messaging: gulnara.charipova@hca6.eclinicaldirectplus.com

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 and National Provider Directory roles.

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": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679097600000",
    "number": "1225510027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20611 DUXBURY TER",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473251",
            "telephone_number": "703-407-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 TOWN CENTER PKWY STE 412",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903300",
            "telephone_number": "703-689-9379",
            "fax_number": "703-639-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARIPOVA",
        "first_name": "GULNARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2023-03-18",
        "certification_date": "2023-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "AC002385",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GULNARA",
            "last_name": "CHARIPOVA",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.