Active NPI
Katherine Blisniuk, FNP-BC
- Family Nurse Practitioner
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024189481
- Practice address
- 1262 Wild Hawthorn Way
Reston, VA 20194-1017 - Phone
- (352) 455-3070
- NPI assigned
- Feb 27, 2024
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024189481 | VA | Primary |
Addresses
Primary practice location
1262 Wild Hawthorn Way
Reston, VA 20194-1017
Mailing address
1262 Wild Hawthorn Way
Reston, VA 20194-1017
Phone (352) 455-3070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1851 N George Mason Dr
Suite 4C
Arlington, VA 22207-1953
Phone (703) 717-4250
Hospital & facility affiliations
- Virginia Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Hospital Center Physician Group, LLC | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group, LLC | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group LLC | Current | Accepting new patients |
Locations
1851 N George Mason Dr
Ste 4C
Arlington, VA 22207
Phone (703) 717-4250
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
Interoperability endpoints
- kblisniuk109016@direct.virginiahospitalcenter.net
Organizations & group practices 3
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.
-
- Maternal & Fetal Medicine Physician
- Arlington, VA
- NPI 1144415480
DC
-
- Neurology Physician
- Arlington, VA
- NPI 1245010479
-
- Surgery Physician
- Arlington, VA
- NPI 1952743031
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1497511265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1262 WILD HAWTHORN WAY",
"city": "RESTON",
"state": "VA",
"postal_code": "201941017",
"telephone_number": "352-455-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1262 WILD HAWTHORN WAY",
"city": "RESTON",
"state": "VA",
"postal_code": "201941017",
"telephone_number": "352-455-3070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLISNIUK",
"first_name": "KATHERINE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-27",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024189481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.