Individual provider Active NPI

Gurneet Kaur

  • Family Nurse Practitioner
  • Lorton, VA
National Provider Identifier
1689330706
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024183054 Issued in VA
Practice address
9704 Saint Mary Ellen Way
Lorton, VA 22079-4363
Phone
(609) 805-0064
NPI assigned
Nov 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024183054 VA Primary

Addresses

Primary practice location

9704 Saint Mary Ellen Way
Lorton, VA 22079-4363

Mailing address

9704 Saint Mary Ellen Way
Lorton, VA 22079-4363
Phone (609) 805-0064

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250304001632 DC Practitioner - Nurse Practitioner 5193246460 Reassigns benefits to 1 organization
I20250312000013 VA Practitioner - Nurse Practitioner 5193246460 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Feb 1, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Feb 1, 2025 Accepting new patients
Accessible Physician Home Care, LLC Past Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

5876 Kingstowne Ctr
Ste 170
Alexandria, VA 22315
Phone (703) 783-3763

526 N Henry St
Alexandria, VA 22314
Phone (203) 348-8110

7609 Richmond Hwy
#B
Alexandria, VA 22306
Phone (703) 347-9440

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

3535 S Ball St
Ste A
Arlington, VA 22202
Phone (703) 558-4922

9801 Patriot Hwy
Fredericksburg, VA 22407

6446 Trading Sq
Haymarket, VA 20169

8644 Sudley Rd
#220
Manassas, VA 20110

13820 Smoketown Rd
Woodbridge, VA 22192
Phone (703) 897-8400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1689330706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9704 SAINT MARY ELLEN WAY",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794363",
            "telephone_number": "609-805-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9704 SAINT MARY ELLEN WAY",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794363",
            "telephone_number": "609-805-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "GURNEET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024183054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorton, VA

Sources for this page

Verify at the official NPI Registry.