Individual provider Active NPI

Carleyna Mariah Dancing Star Nunes, M.D.

  • Obstetrics & Gynecology Physician
  • Alexandria, VA
National Provider Identifier
1558659144
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101260851 Issued in VA
Practice address
6355 Walker LN Ste 508
Alexandria, VA 22310-3251
Phone
(703) 971-7633
Fax
(703) 971-0997
NPI assigned
Jul 15, 2011
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R72602 AZ
Obstetrics & Gynecology Physician 207V00000X 50034 AZ
Obstetrics & Gynecology Physician 207V00000X 0101260851 VA Primary

Addresses

Primary practice location

6355 Walker LN Ste 508
Alexandria, VA 22310-3251

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (301) 340-8339

Other practice location 1

7494 N. LaCholla Blvd.
Tucson, AZ 85741
Phone (520) 544-0906

Other identifiers 3

IdentifierTypeStateIssuer
R72602OtherAZMEDICAL LICENSE NUMBER
1558659144MedicaidVA
5372MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carleyna.nunes.p0@direct.cwcare.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161229001181 DC Practitioner - Obstetrics/Gynecology 2062725757 Reassigns benefits to 2 organizations
I20171219002200 VA Practitioner - Obstetrics/Gynecology 2062725757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Warren Alpert Medical School of Brown University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians

Practice addresses (Care Compare)

101 W Broad St
Suite 500
Falls Church, VA 22046-4200
Phone (703) 971-8011

209 Elden St
Suite 105
Herndon, VA 20170-4846
Phone (703) 735-2574

3554 Chain Bridge Rd
Suite 302
Fairfax, VA 22030-2709
Phone (703) 273-6635

6355 Walker LN
Suite 508
Alexandria, VA 22310-3251
Phone (703) 971-7633

Merit-based Incentive Payment System (MIPS)

Final score
43.1 of 100Reported as group
Quality
7.9
Improvement activities
40
Cost
79.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50034AZMDObstetrics & Gynecology Physician
R72602AZMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Women's Care, L.L.C. Obstetrics & Gynecology CurrentSince Oct 23, 2016 Accepting new patients
Inova Health Care Services CurrentSince Oct 2, 2017 Accepting new patients
Inova Health Care Services Obstetrics & Gynecology CurrentSince Oct 2, 2017 Accepting new patients
Southwest Sports and Spine LLC Past Accepting new patients
Northern Virginia Gynecologists Inc Obstetrics & Gynecology PastSince Dec 3, 2023 Accepting new patients
Shawn a Tassone MD PLLC Obstetrics & Gynecology Past Accepting new patients

Locations

11850 W Market Pl
Ste P
Fulton, MD 20759

8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759

9711 Medical Center Dr
Ste 109
Rockville, MD 20850
Phone (301) 762-5501

6355 Walker Ln
Ste 508
Alexandria, VA 22310
Phone (703) 971-7633

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Interoperability endpoints

  • Direct secure messaging: carleyna.nunes.p1@direct.cwcare.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1558659144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MAPLE LAWN BLVD STE 235",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592694",
            "telephone_number": "301-340-8339",
            "fax_number": "301-340-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 WALKER LN STE 508",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103251",
            "telephone_number": "703-971-7633",
            "fax_number": "703-971-0997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7494 N. LaCholla Blvd.",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85741",
            "country_code": "US",
            "telephone_number": "520-544-0906",
            "fax_number": "520-544-5690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNES",
        "first_name": "CARLEYNA",
        "middle_name": "MARIAH DANCING STAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "R72602",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "50034",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101260851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "R72602",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558659144",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5372",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carleyna.nunes.p0@direct.cwcare.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6355 Walker Ln Ste 508",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223103251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.