Provider Demographics
NPI:1417326703
Name:CHENARI, EMILY RENEE
Entity Type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:RENEE
Last Name:CHENARI
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:EMILY
Other - Middle Name:RENEE
Other - Last Name:CHENARI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AGACNPBC
Mailing Address - Street 1:106 IRVING ST POB NORTH
Mailing Address - Street 2:SUITE 5000
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010
Mailing Address - Country:US
Mailing Address - Phone:202-877-6000
Mailing Address - Fax:202-877-6618
Practice Address - Street 1:106 IRVING ST
Practice Address - Street 2:PHYSICIAN'S OFFICE BUILDING NORTH SUITE 5000
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010
Practice Address - Country:US
Practice Address - Phone:202-877-6000
Practice Address - Fax:202-877-6618
Is Sole Proprietor?:No
Enumeration Date:2015-09-17
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000203094390200000X
VA0024172940363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA001628748OtherRAILROAD MEDICARE
VA1417326703OtherUMWA
VA1417326703OtherANTHEM MEDIGAP
VA1417326703OtherGATEWAY
VA1417326703OtherINTOTAL
VA1417326703OtherAETNA
VA1417326703OtherOPTIMA HEALTH PLAN
VA1417326703OtherVIRGINIA PREMIER
VA1417326703OtherSOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
VA1417326703OtherHUMANA MEDICARE
VA1417326703Medicaid
VA540506332199OtherTRICARE
VA1417326703Medicaid