Active NPI
Junette Vaclavik Andregg, CRNA
- Certified Registered Nurse Anesthetist
- Newport News, VA
National Provider Identifier
1609830694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024077459
- Practice address
- 11848 Rock Landing Dr
Newport News, VA 23606-4425 - Phone
- (757) 591-2260
- NPI assigned
- Apr 14, 2006
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024077459 | VA | Primary |
Addresses
Primary practice location
11848 Rock Landing Dr
Newport News, VA 23606-4425
Mailing address
68 S Service Rd
Suite 350
Melville, NY 11747-2354
Phone (516) 945-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609830694 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024077459 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James River Anesthesia Assoc., Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Newport News, VA
- NPI 1982632980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425340800000",
"number": "1609830694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 S SERVICE RD",
"address_2": "SUITE 350",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472354",
"telephone_number": "516-945-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11848 ROCK LANDING DR",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064425",
"telephone_number": "757-591-2260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREGG",
"first_name": "JUNETTE",
"middle_name": "VACLAVIK",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2015-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024077459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609830694",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.