Individual provider Active NPI

Amy Lynne Bunavage, CRNP

  • Family Nurse Practitioner
  • Arlington, VA
National Provider Identifier
1396520607
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024187920 Issued in VA
Practice address
2501 N Glebe Rd Ste 301
Arlington, VA 22207-3558
Phone
(703) 527-6664
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 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 0024187920 VA Primary

Addresses

Primary practice location

2501 N Glebe Rd Ste 301
Arlington, VA 22207-3558

Mailing address

3334 Spring LN Apt B40
Falls Church, VA 22041-2646
Phone (570) 687-4601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20240311000722 DC Practitioner - Nurse Practitioner 6103279807 Reassigns benefits to 3 organizations
I20241030004606 VA Practitioner - Nurse Practitioner 6103279807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Greatest Care LLCGroup PAC ID 0648717512, 14 clinicians

Practice addresses (Care Compare)

14087 Richmond Hwy
Suite 101
Woodbridge, VA 22191-2171
Phone (571) 300-8000

9276 Old Keene Mill Rd
Burke, VA 22015-4201
Phone (571) 516-3116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024187920VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Xcel Urgent Care LLC CurrentSince Feb 22, 2024 Accepting new patients
American Greatest Care LLC Family CurrentSince Nov 1, 2024 Accepting new patients
Roanoke Valley Healthcare Partners, LLC CurrentSince Jul 1, 2024 Accepting new patients
Xcel Primary Care PLLC CurrentSince Feb 22, 2024 Accepting new patients
American Greatest Care LLC Past Accepting new patients
Blue Ridge Healthcare Partners, LLC Past Accepting new patients

Locations

9276 Old Keene Mill Rd
Burke, VA 22015
Phone (571) 516-3116

9276 Old Keene Mill Rd
Apt 316
Burke, VA 22015

3517 S Jefferson St
Falls Church, VA 22041
Phone (703) 254-9158

602 Brandon Ave SW
Ste 222
Roanoke, VA 24015
Phone (540) 774-0000

14087 Richmond Hwy
Woodbridge, VA 22191
Phone (571) 300-8000

14087 Richmond Hwy
Ste 101
Woodbridge, VA 22191
Phone (571) 300-8000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1396520607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 SPRING LN APT B40",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412646",
            "telephone_number": "570-687-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N GLEBE RD STE 301",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222073558",
            "telephone_number": "703-527-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNAVAGE",
        "first_name": "AMY",
        "middle_name": "LYNNE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.