Individual provider Active NPI

Shuchita Vandra Gorrell, MSN, CRNP, FNP-C

  • Nurse Practitioner
  • Vienna, VA
National Provider Identifier
1679958714
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024177546 Issued in VA
Practice address
111 Church St NW Ste 201
Vienna, VA 22180-4536
Phone
(703) 755-0889
Fax
(202) 428-0470
NPI assigned
Jul 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024177546 VA Primary

Addresses

Primary practice location

111 Church St NW Ste 201
Vienna, VA 22180-4536

Mailing address

111 Church St NW Ste 201
Vienna, VA 22180-4536
Phone (703) 755-0889

Other names 1

  • Shuchita Vandra Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151030000717 DC Practitioner - Nurse Practitioner 2062729650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Medstar Primary Care LLCGroup PAC ID 0749607307, 140 clinicians

Practice addresses (Care Compare)

1001 G St NW
Suite 200E
Washington, DC 20001-4546
Phone (202) 660-0005

2987 District Ave
Suite 120
Fairfax, VA 22031-1571
Phone (202) 627-1904

601 New Jersey Ave NW
Suite 200
Washington, DC 20001-3030
Phone (202) 660-0005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024177546VAMDNurse Practitioner

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.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1679958714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHURCH ST NW STE 201",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804536",
            "telephone_number": "703-755-0889",
            "fax_number": "202-428-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CHURCH ST NW STE 201",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804536",
            "telephone_number": "703-755-0889",
            "fax_number": "202-428-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORRELL",
        "first_name": "SHUCHITA",
        "middle_name": "VANDRA",
        "credential": "MSN, CRNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024177546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHUCHITA",
            "last_name": "VANDRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.