Individual provider Active NPI

Sooky Emmanuel-Frank, CPNP-PC

  • Pediatric Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1356860084
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
24175384 Issued in VA
Practice address
2565 Cowan Blvd
Fredericksburg, VA 22401-8440
Phone
(540) 289-2273
NPI assigned
Sep 13, 2017
Last updated
Dec 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1248189 VA
Pediatric Nurse Practitioner 363LP0200X 24175384 VA Primary

Addresses

Primary practice location

2565 Cowan Blvd
Fredericksburg, VA 22401-8440

Mailing address

3505 Indian Run Rd
Amissville, VA 20106-1786
Phone (571) 289-7599

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
I20171128001788 VA Practitioner - Nurse Practitioner 0547527657 Reassigns benefits to 2 organizations
I20180109001635 DC Practitioner - Nurse Practitioner 0547527657 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1248189VAMDRegistered Nurse
24175384VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Nov 6, 2017 Accepting new patients
Commonwealth Emergency Physicians PC CurrentSince Oct 1, 2017 Accepting new patients
Inova Health Care Services CurrentSince Nov 6, 2017 Accepting new patients
Inova Health Care Services Current Accepting new patients
Warrenton Pediatrics, LLC Past Accepting new patients
Commonwealth Emergency Physicians PC PastSince Apr 17, 2020 Accepting new patients
Fauquier Physician Practices LLC Past Accepting new patients

Locations

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

Interoperability endpoints

  • Direct secure messaging: sooky.emmanuelfrank.p13@direct.warrentonpeds.nextgenshare.com

Organizations & group practices 7

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": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1356860084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 INDIAN RUN RD",
            "city": "AMISSVILLE",
            "state": "VA",
            "postal_code": "201061786",
            "telephone_number": "571-289-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 COWAN BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018440",
            "telephone_number": "540-289-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMANUEL-FRANK",
        "first_name": "SOOKY",
        "name_prefix": "Mrs.",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "1248189",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "24175384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.