Active NPI
Nam Kyung Senerchia
- Nurse Practitioner
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024189308
- Practice address
- 11800 Sunrise Valley Dr Ste 500
Reston, VA 20191-5303 - Phone
- (703) 437-5977
- Fax
- (703) 478-2475
- NPI assigned
- Jan 16, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024189308 | VA | Primary |
Addresses
Primary practice location
11800 Sunrise Valley Dr Ste 500
Reston, VA 20191-5303
Mailing address
2901 Telestar CT Ste 300
Falls Church, VA 22042-1263
Phone (703) 591-1688
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nsenerchia1420584@soc.inova.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 B N Maple Ave
Purcellville, VA 20132-3180
Phone (703) 723-8664
3300 Gallows Rd
Falls Church, VA 22042-3307
3580 Joseph Siewick Dr
Fairfax, VA 22033-1764
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients |
Locations
2901 Telestar Ct
Ste 300
Falls Church, VA 22042
Phone (703) 591-1688
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
120B N Maple Ave
Purcellville, VA 20132
Phone (703) 723-8664
11800 Sunrise Valley Dr
Ste 500
Reston, VA 20191
Phone (703) 437-5977
1900 Gallows Rd
Ste 110
Vienna, VA 22182
Phone (703) 281-1265
Interoperability endpoints
- nsenerchia1420584@soc.inova.org
Organizations & group practices 2
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.
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1497516629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 TELESTAR CT STE 300",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220421263",
"telephone_number": "703-591-1688",
"fax_number": "703-591-1445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 SUNRISE VALLEY DR STE 500",
"city": "RESTON",
"state": "VA",
"postal_code": "201915303",
"telephone_number": "703-437-5977",
"fax_number": "703-478-2475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENERCHIA",
"first_name": "NAM KYUNG",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-16",
"last_updated": "2024-06-18",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024189308",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nsenerchia1420584@soc.inova.org",
"affiliation": "N",
"address_1": "11800 Sunrise Valley Dr Ste 500",
"city": "Reston",
"state": "VA",
"country_code": "US",
"postal_code": "201915303",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 18, 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.