Individual provider Active NPI

V Renee Burdett, MD

  • Psychiatry Physician
  • Woodbridge, VA
National Provider Identifier
1821168212
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101046586 Issued in VA
Practice address
13649 Office Place
Suite 102
Woodbridge, VA 22192
Phone
(703) 670-5738
Fax
(703) 670-8213
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101046586 VA Primary
Child & Adolescent Psychiatry Physician 2084P0804X 0101046586 VA

Addresses

Primary practice location

13649 Office Place
Suite 102
Woodbridge, VA 22192

Mailing address

13649 Office Place
Suite 102
Woodbridge, VA 22192
Phone (703) 670-5738

Other identifiers 1

IdentifierTypeStateIssuer
256399OtherVAANTHEM BC BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101119000898 VA Practitioner - Psychiatry 1557412061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renee Burdett, MD PCGroup PAC ID 2264583764, 4 clinicians

Practice addresses (Care Compare)

13649 Office PL
Suite 102
Woodbridge, VA 22192-4215
Phone (703) 670-5738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101046586VAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renee Burdett, MD PC CurrentSince Apr 8, 2025 Accepting new patients
TMS Neurohealth Centers Woodbridge LLC PastSince Apr 8, 2025 Accepting new patients

Locations

13649 Office Pl
Ste 102
Woodbridge, VA 22192
Phone (703) 670-5738

Organizations & group practices 2

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1821168212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13649 OFFICE PLACE",
            "address_2": "SUITE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22192",
            "telephone_number": "703-670-5738",
            "fax_number": "703-670-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13649 OFFICE PLACE",
            "address_2": "SUITE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22192",
            "telephone_number": "703-670-5738",
            "fax_number": "703-670-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDETT",
        "first_name": "V",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101046586",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101046586",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "256399",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.