Individual provider Active NPI

Emily Tanski Gunnells, PA-C

  • Physician Assistant
  • Leesburg, VA
National Provider Identifier
1750650073
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110004340 Issued in VA
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

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30015769690003MedicaidVA
1750650073MedicaidVA

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
I20120222000047 DC Practitioner - Physician Assistant 6608034665 Reassigns benefits to 4 organizations
I20160308002153 VA Practitioner - Physician Assistant 6608034665 Reassigns benefits to 3 organizations

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
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

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

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Feb 15, 2016 Accepting new patients
Inova Health Care Services CurrentSince Jun 30, 2024 Accepting new patients
Inova Health Care Services CurrentSince Feb 15, 2016 Accepting new patients
Loudoun Medical Group, PC CurrentSince Aug 1, 2023 Accepting new patients
Loudoun Medical Group, PC CurrentSince Aug 1, 2023 Accepting new patients
Inova Health Care Services CurrentSince Feb 15, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.