Individual provider Active NPI

Eileen J. Brumbaugh, NNP

  • Neonatal Nurse Practitioner
  • Winchester, VA
National Provider Identifier
1255524708
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
0024140840 Issued in VA
Practice address
1840 Amherst St
Nicu 4TH Floor
Winchester, VA 22601-2808
Phone
(540) 536-7897
Fax
(540) 536-7843
NPI assigned
Aug 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 0024140840 VA Primary

Addresses

Primary practice location

1840 Amherst St
Nicu 4TH Floor
Winchester, VA 22601-2808

Mailing address

501 W Bank St
Bridgewater, VA 22812-1002
Phone (540) 533-7474

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ebrumbaugh124016@soc.inova.org

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024140840VAMDNeonatal Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ebrumbaugh124016@soc.inova.org

NPI Registry JSON

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

{
    "created_epoch": "1187395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1255524708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W BANK ST",
            "city": "BRIDGEWATER",
            "state": "VA",
            "postal_code": "228121002",
            "telephone_number": "540-533-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 AMHERST ST",
            "address_2": "NICU 4TH FLOOR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012808",
            "telephone_number": "540-536-7897",
            "fax_number": "540-536-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMBAUGH",
        "first_name": "EILEEN",
        "middle_name": "J.",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-18",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "VA",
            "license": "0024140840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebrumbaugh124016@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "address_2": "NICU 4th Floor",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; 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.