Active NPI
Azucena Gault, CRNA
- Certified Registered Nurse Anesthetist
- Woodbridge, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0001243365
- Practice address
- 2300 Opitz Blvd.
Woodbridge, VA 22191 - Phone
- (703) 670-1313
- Fax
- (954) 851-1746
- NPI assigned
- Mar 1, 2010
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9257034 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 0001243365 | VA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 251490 | AK | |
| Certified Registered Nurse Anesthetist | 367500000X | 585871 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 3988 | CA |
Addresses
Primary practice location
2300 Opitz Blvd.
Woodbridge, VA 22191
Mailing address
3100 Spring Forest Rd Ste 130
Raleigh, NC 27616-2880
Phone (919) 882-7908
Other practice location 1
1650 Cowles St
Fairbanks, AK 99701-5907
Phone (907) 458-3000
Other names 1
- Azucena Valdivia
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC, WA, AK
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1650 Cowles St
Fairbanks, AK 99701-5907
Phone (907) 459-3500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3988 | CA | MD | Nurse Practitioner |
| 251490 | AK | MD | Certified Registered Nurse Anesthetist |
| 0001243365 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Northstar Anesthesia of Virginia, LLC | Current | Accepting new patients | |
| Outpatient Anesthesia Services of Reston, LTD | Current | Accepting new patients | |
| Stonesprings Anesthesia Associates, LTD | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Reston Anesthesia Associates, PC | Current | Accepting new patients | |
| Loma Linda Univ Anesthesiology Medical Group Inc | Past | Accepting new patients |
Locations
2101 E Jefferson St
Ste 6
Rockville, MD 20852
2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000
736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124
541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
44035 Riverside Pkwy
Ste 200
Leesburg, VA 20176
Phone (571) 209-6465
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
1860 Town Center Dr
Ste G100
Reston, VA 20190
Phone (703) 433-8700
24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696
24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400
8008 Westpark Dr
Tysons Corner, VA 22102
Phone (703) 287-6400
380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860
1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980
Organizations & group practices 12
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.
-
- Multi-Specialty Clinic/Center
- Fairbanks, AK
- NPI 1922559558
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
-
- Ambulatory Surgical Clinic/Center
- MC Lean, VA
- NPI 1073678637
DC
-
- Anesthesiology Physician
- Dulles, VA
- NPI 1255718235
-
- Anesthesiology Physician
- Richland, WA
- NPI 1013940253
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockville, MD
- NPI 1962108753
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
-
- Anesthesiology Physician
- Loma Linda, CA
- NPI 1104872118
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fairbanks, AK
- NPI 1720537178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1487977724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SPRING FOREST RD STE 130",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276162880",
"telephone_number": "919-882-7908",
"fax_number": "919-873-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 OPITZ BLVD.",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "22191",
"telephone_number": "703-670-1313",
"fax_number": "954-851-1746"
}
],
"practiceLocations": [
{
"address_1": "1650 Cowles St",
"address_purpose": "LOCATION",
"city": "Fairbanks",
"state": "AK",
"postal_code": "997015907",
"country_code": "US",
"telephone_number": "907-458-3000",
"fax_number": "907-458-5694",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAULT",
"first_name": "AZUCENA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-01",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9257034",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0001243365",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AK",
"license": "251490",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "585871",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "3988",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AZUCENA",
"last_name": "VALDIVIA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.