Christine Corine Pournaras, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024186261 Issued in VA

Practice address

3998 Fair Ridge Dr Ste 100
Fairfax, VA 22033-2946

Phone

(703) 655-2582

NPI assigned

Jan 23, 2023

Last updated

Feb 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1609581735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332946",
            "telephone_number": "703-655-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332946",
            "telephone_number": "703-655-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURNARAS",
        "first_name": "CHRISTINE",
        "middle_name": "CORINE",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024186261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Potash, MSS, LSW
• Barry Potoker
• Potomac Ambulatory Surgery Center
• Tamika Potts
• Krishna Poudel
• Stephen W Pournaras Jr., M D
• Hamid Reza Pourshojae, D.O.
• Johnny S Powell, LCSW
• Melinda Powell, LPC
• Robin Powell

• Nurse Practitioner in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.