Individual provider Active NPI

Cynthia Diane Schluckebier, NP

  • Family Nurse Practitioner
  • Burke, VA
National Provider Identifier
1639347974
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024099352 Issued in VA
Practice address
9520 Burke Rd
Burke Allergy & Asthma Center
Burke, VA 22015
Phone
(703) 425-8616
Fax
(703) 425-8743
NPI assigned
Feb 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001099352 VA
Registered Nurse 163W00000X 343902 CA
Nurse Practitioner 363L00000X 0017001560 VA
Nurse Practitioner 363L00000X RN64343 DC
Family Nurse Practitioner 363LF0000X 0024099352 VA Primary

Addresses

Primary practice location

9520 Burke Rd
Burke Allergy & Asthma Center
Burke, VA 22015

Mailing address

9520 Burke Rd
Burke Allergy & Asthma Center
Burke, VA 22015
Phone (703) 425-8616

Other names 1

  • Miss Cynthia Diane Wieland Former name

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
343902CAMDRegistered Nurse
0001099352VAMDRegistered Nurse
RN64343DCMDNurse Practitioner
0017001560VAMDNurse Practitioner
0024099352VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
I Care 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, 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": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1639347974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 BURKE RD",
            "address_2": "BURKE ALLERGY & ASTHMA CENTER",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "22015",
            "telephone_number": "703-425-8616",
            "fax_number": "703-425-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 BURKE RD",
            "address_2": "BURKE ALLERGY & ASTHMA CENTER",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "22015",
            "telephone_number": "703-425-8616",
            "fax_number": "703-425-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLUCKEBIER",
        "first_name": "CYNTHIA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001099352",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "343902",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0017001560",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN64343",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024099352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "WIELAND",
            "middle_name": "DIANE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.