Individual provider Active NPI

Azucena Gault, CRNA

  • Certified Registered Nurse Anesthetist
  • Woodbridge, VA
National Provider Identifier
1487977724
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0001243365 Issued in VA
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

Updated by the provider on May 27, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, WA, AK4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20130625000779 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234265356 Reassigns benefits to 3 organizations
I20160414001849 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234265356 Reassigns benefits to 4 organizations
I20220610001757 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234265356 Reassigns benefits to 1 organization
I20260529001152 AK Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234265356 Reassigns benefits to 1 organization

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
Tanana Valley Clinic LLCGroup PAC ID 5698056901, 142 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
3988CAMDNurse Practitioner
251490AKMDCertified Registered Nurse Anesthetist
0001243365VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Feb 19, 2017 Accepting new patients
Northstar Anesthesia of Virginia, LLC CurrentSince Jun 11, 2024 Accepting new patients
Outpatient Anesthesia Services of Reston, LTD CurrentSince Mar 17, 2016 Accepting new patients
Stonesprings Anesthesia Associates, LTD CurrentSince Dec 1, 2015 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 CurrentSince May 15, 2016 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Feb 19, 2017 Accepting new patients
Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2023 Accepting new patients
Reston Anesthesia Associates, PC CurrentSince Mar 17, 2016 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.