Individual provider Active NPI

Christine A Coetzee, PA-C

  • Physician Assistant
  • McLean, VA
National Provider Identifier
1942273594
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110003645 Issued in VA
Practice address
8180 Greensboro Dr
Ste 300
MC Lean, VA 22102-3888
Phone
(703) 810-5217
Fax
(703) 810-5423
NPI assigned
Feb 13, 2006
Last updated
Jul 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9106613 FL
Physician Assistant 363A00000X 0110003645 VA Primary
Physician Assistant 363A00000X NU

Addresses

Primary practice location

8180 Greensboro Dr
Ste 300
MC Lean, VA 22102-3888

Mailing address

PO Box 75420
Baltimore, MD 21275-5420
Phone (703) 383-6469

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
I20140430001959 DC Practitioner - Physician Assistant 4183877301 Reassigns benefits to 2 organizations
I20230724003525 VA Practitioner - Physician Assistant 4183877301 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates, PA CurrentSince Nov 20, 2017 Accepting new patients
Washington Hospital Center Corp CurrentSince Feb 9, 2014 Accepting new patients
Washington Hospital Center Corp CurrentSince Feb 9, 2014 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Nov 20, 2017 Accepting new patients
Blue Ridge Orthopaedics Physical Therapy Past Accepting new patients
Blue Ridge Orthopaedic, Occupational Therapy Past Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1942273594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75420",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212755420",
            "telephone_number": "703-383-6469",
            "fax_number": "703-385-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 GREENSBORO DR",
            "address_2": "STE 300",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023888",
            "telephone_number": "703-810-5217",
            "fax_number": "703-810-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COETZEE",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106613",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003645",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

Verify at the official NPI Registry.