Organization Active NPI

Audrey Rushin, MD, PLLC

  • Psychiatry Physician
  • Burke, VA
National Provider Identifier
1841335239
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101235418 Issued in VA
Legal business name
AUDREY RUSHIN, MD, PLLC
Practice address
5280 Lyngate CT
Burke, VA 22015-1688
Phone
(703) 978-8398
NPI assigned
Feb 21, 2007
Last updated
Oct 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Audrey M Rushin, MD
Title
Owner
Phone
(703) 978-8398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 0101235418 VA Primary

Addresses

Primary practice location

5280 Lyngate CT
Burke, VA 22015-1688

Mailing address

5280 Lyngate CT
Burke, VA 22015-1688
Phone (703) 978-8398

National Provider Directory

National Provider Directory

Locations

5274 Lyngate Ct
Burke, VA 22015
Phone (703) 425-7867

5280 Lyngate Ct
Burke, VA 22015
Phone (703) 217-2487

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1841335239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5280 LYNGATE CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151688",
            "telephone_number": "703-978-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5280 LYNGATE CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151688",
            "telephone_number": "703-978-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDREY RUSHIN, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "RUSHIN",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-978-8398",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101235418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.