Individual provider Active NPI

Manisha Kunwar

  • Family Nurse Practitioner
  • Dumfries, VA
National Provider Identifier
1861963738
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024176572 Issued in VA
Practice address
3600 Pointe Center CT Ste 110
Dumfries, VA 22026-2670
Phone
(703) 523-1750
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024176572 VA Primary

Addresses

Primary practice location

3600 Pointe Center CT Ste 110
Dumfries, VA 22026-2670

Mailing address

3600 Pointe Center CT Ste 110
Dumfries, VA 22026-2670
Phone (703) 523-1750

Other practice location 1

10255 Brookstone Ct
Manassas, VA 20109-3100
Phone (571) 229-3777

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190405000911 VA Practitioner - Nurse Practitioner 4587905252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

3600 Pointe Ctr CT
Dumfries, VA 22026-2669
Phone (703) 523-1750

Hospital & facility affiliations

  • Sentara Home Care Services Home health agency, Dumfries, VA, CCN 497675
  • Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Apr 1, 2019 Accepting new patients
Sentara Therapy Solutions, LLC PastSince Apr 1, 2019 Accepting new patients

Locations

16830 Dumfries Rd
Ste 160
Dumfries, VA 22025
Phone (703) 523-1750

3600 Pointe Center Ct
Ste 110
Dumfries, VA 22026
Phone (703) 523-1750

3600 Pointe Center Ct
Dumfries, VA 22026
Phone (703) 523-1750

863 Glenrock Rd
Ste 100
Norfolk, VA 23502
Phone (757) 252-2765

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

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.

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": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1861963738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 POINTE CENTER CT STE 110",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220262670",
            "telephone_number": "703-523-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 POINTE CENTER CT STE 110",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220262670",
            "telephone_number": "703-523-1750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10255 Brookstone Ct",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201093100",
            "country_code": "US",
            "telephone_number": "571-229-3777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNWAR",
        "first_name": "MANISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

Verify at the official NPI Registry.