Individual provider Active NPI

Gurmit K Mann, A-GNP-BC

  • Gerontology Nurse Practitioner
  • Herndon, VA
National Provider Identifier
1487339487
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0024187064 Issued in VA
Practice address
106 Elden St Ste 18B
Herndon, VA 20170-4826
Phone
(703) 723-9100
NPI assigned
Jun 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 0024187064 VA Primary

Addresses

Primary practice location

106 Elden St Ste 18B
Herndon, VA 20170-4826

Mailing address

24060 Gumspring Kiln Ter
Sterling, VA 20166-2746
Phone (609) 918-1593

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0024187064VAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Health Inc CurrentSince Jun 18, 2023 Accepting new patients

Locations

106 Elden St
Ste 18B
Herndon, VA 20170
Phone (305) 701-9901

Organizations & group practices 1

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": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1487339487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24060 GUMSPRING KILN TER",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201662746",
            "telephone_number": "609-918-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ELDEN ST STE 18B",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704826",
            "telephone_number": "703-723-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "GURMIT",
        "middle_name": "K",
        "credential": "A-GNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024187064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.