Active NPI
Tetyana Chmyrova, AGNP-C
- Gerontology Nurse Practitioner
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 0024182359
- Practice address
- 19441 Golf Vista PLZ Ste 230
Leesburg, VA 20176-8271 - Phone
- (703) 729-3420
- NPI assigned
- Oct 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 0024182359 | VA | Primary |
Addresses
Primary practice location
19441 Golf Vista PLZ Ste 230
Leesburg, VA 20176-8271
Mailing address
PO Box 3250
Winchester, VA 22604-2450
Phone (703) 673-4490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, NJ, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
19441 Golf Vista PLZ
Suite 230
Leesburg, VA 20176-8271
Phone (703) 729-3420
5901 Kingstowne Village Pkwy
Suite 101
Alexandria, VA 22315-5881
Phone (703) 729-3420
8280 Willow Oaks Corporate Dr
Suite 600
Fairfax, VA 22031-4516
Phone (443) 868-7101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean Pulmonary Associates, P.a. | Current | Accepting new patients | |
| Comprehensive Sleep Care Center Inc | Current | Accepting new patients | |
| Comprehensive Sleep Care Center Inc | Current | Accepting new patients | |
| Comprehensive Sleep Care Center, Inc. | Current | Accepting new patients |
Locations
6000 Executive Blvd
Ste 604
North Bethesda, MD 20852
459 Jack Martin Blvd
Ste 5
Brick, NJ 08724
Phone (732) 840-4200
27 S Cooks Bridge Rd
Ste 2-10
Jackson, NJ 08527
Phone (732) 341-1380
20 Hospital Dr
Ste 9
Toms River, NJ 08755
Phone (732) 341-1380
5901 Kingstowne Village Pkwy
Ste 101
Alexandria, VA 22315
Phone (703) 778-3774
200 N Glebe Rd
Ste 316
Arlington, VA 22203
4080 Lafayette Center Dr
Ste 170C
Chantilly, VA 20151
3687 Fettler Park Dr
Slp Care
Dumfries, VA 22025
605 Emancipation Hwy
Slp Care
Fredericksburg, VA 22401
19441 Golf Vista Plz
Ste 310
Leesburg, VA 20176
19441 Golf Vista Plz
Ste 230
Leesburg, VA 20176
Phone (703) 724-7474
9420 Forestwood Ln
Ste 202
Manassas, VA 20110
4897 Prince William Pkwy
Ste 102
Woodbridge, VA 22192
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70885
Organizations & group practices 5
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.
-
- Sleep Medicine (Internal Medicine) Physician
- Lansdowne, VA
- NPI 1811149784
-
dba Comprehensive Sleep Care Center - Bethesda/Rockville
- Sleep Medicine (Internal Medicine) Physician
- North Bethesda, MD
- NPI 1780471631
DC
-
- Pulmonary Disease Physician
- Toms River, NJ
- NPI 1174645154
-
dba Comprehensive Sleep Care Center Inc - Annapolis
- Sleep Medicine (Internal Medicine) Physician
- Annapolis, MD
- NPI 1851279541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1457013161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3250",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226042450",
"telephone_number": "703-673-4490",
"fax_number": "540-678-9025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19441 GOLF VISTA PLZ STE 230",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201768271",
"telephone_number": "703-729-3420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHMYROVA",
"first_name": "TETYANA",
"credential": "AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-10",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "VA",
"license": "0024182359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.