Active NPI
Sandra J Eaddy, CRNA
- Certified Registered Nurse Anesthetist
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024000023
- Practice address
- 1850 Town Center Parkway
Reston Hospital Center
Reston, VA 20190 - Phone
- (703) 471-0919
- Fax
- (703) 742-9081
- NPI assigned
- Jan 3, 2006
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0024000023 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024000023 | VA | Primary |
Addresses
Primary practice location
1850 Town Center Parkway
Reston Hospital Center
Reston, VA 20190
Mailing address
PO Box 2757
Reston, VA 20195
Phone (703) 471-0919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010123151 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Virginia, LLC | Current | Accepting new patients | |
| Inova Cares - Community | Current | Accepting new patients | |
| Ambulatory Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Reston Anesthesia Associates, PC | Past | Accepting new patients | |
| MCV Associated Physicians | Past | Accepting new patients | |
| Lake Ridge Anesthesia LLC | Past | Accepting new patients |
Locations
6355 Walker Ln
Ste 200
Alexandria, VA 22310
Phone (703) 922-9501
2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000
736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124
541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700
3620 Joseph Siewick Dr
Ste 202
Fairfax, VA 22033
Phone (703) 766-6960
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
1501 Maple Ave
Ste 300
Richmond, VA 23226
Phone (804) 287-7878
828 Healthy Way
Ste 115
Virginia Beach, VA 23462
Phone (757) 388-6200
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Alexandria, VA
- NPI 1720192230
DC, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fredericksburg, VA
- NPI 1619149648
-
- Anesthesiology Physician
- Woodbridge, VA
- NPI 1558619254
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
-
- Anesthesiology Physician
- Reston, VA
- NPI 1932210093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555027200000",
"number": "1851379671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2757",
"city": "RESTON",
"state": "VA",
"postal_code": "20195",
"telephone_number": "703-471-0919",
"fax_number": "703-742-9081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 TOWN CENTER PARKWAY",
"address_2": "RESTON HOSPITAL CENTER",
"city": "RESTON",
"state": "VA",
"postal_code": "20190",
"telephone_number": "703-471-0919",
"fax_number": "703-742-9081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EADDY",
"first_name": "SANDRA",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-03",
"last_updated": "2019-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0024000023",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024000023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010123151",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.