Active NPI
Emily Tanski Gunnells, PA-C
- Physician Assistant
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110004340
- Practice address
- 19490 Sandridge Way, Suite 210
Leesburg, VA 20176-3467 - Phone
- (703) 723-7504
- NPI assigned
- Dec 14, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA030814 | DC | |
| Physician Assistant | 363A00000X | 0110004340 | VA | Primary |
Addresses
Primary practice location
19490 Sandridge Way, Suite 210
Leesburg, VA 20176-3467
Mailing address
224-D Cornwall Street, NW.
Suite 403
Leesburg, VA 20176-2704
Phone (703) 737-6010
Other practice location 1
44055 Riverside Pkwy Ste 220
Leesburg, VA 20176-5177
Phone (571) 472-4100
Other practice location 2
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-8310
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30015769690003 | Medicaid | VA | |
| 1750650073 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3800 Fettler Park Dr
Suite 312
Dumfries, VA 22025-2043
Phone (571) 472-6791
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Loudoun Medical Group, PC | Current | Accepting new patients | |
| Loudoun Medical Group, PC | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Past | Accepting new patients |
Locations
2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000
20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652
3800 Fettler Park Dr
Ste 312
Dumfries, VA 22025
Phone (571) 472-6791
8081 Innovation Park Dr
Ste 900
Fairfax, VA 22031
Phone (571) 472-4200
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
19490 Sandridge Way
Ste 210
Leesburg, VA 20176
Phone (703) 723-7504
44055 Riverside Pkwy
Ste 220
Leesburg, VA 20176
Phone (703) 858-3060
Interoperability endpoints
- etanski195892@soc.inova.org
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Leesburg, VA
- NPI 1679591440
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
-
- Multi-Specialty Clinic/Center
- Fairfax, VA
- NPI 1669511051
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Vascular Surgery Physician
- Reston, VA
- NPI 1588376321
-
- Diagnostic Radiology Physician
- Waldorf, MD
- NPI 1851829550
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1750650073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224-D CORNWALL STREET, NW.",
"address_2": "SUITE 403",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201762704",
"telephone_number": "703-737-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19490 SANDRIDGE WAY, SUITE 210",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201763467",
"telephone_number": "703-723-7504"
}
],
"practiceLocations": [
{
"address_1": "44055 Riverside Pkwy Ste 220",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "VA",
"postal_code": "201765177",
"country_code": "US",
"telephone_number": "571-472-4100",
"fax_number": "571-472-4101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3300 Gallows Rd",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220423307",
"country_code": "US",
"telephone_number": "703-776-8310",
"fax_number": "202-715-5161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUNNELLS",
"first_name": "EMILY",
"middle_name": "TANSKI",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-14",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DC",
"license": "PA030814",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110004340",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30015769690003",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1750650073",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.