WAVERLY BROOKE KUNDYSEK MD
NPI 1063200749
Student in an Organized Health Care Education/Training Program in Falls Church, VA

Active since April 30, 2025
3300 GALLOWS RD, FALLS CHURCH, VA 22042(703) 776-4002 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Waverly Brooke Kundysek Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAVERLY BROOKE KUNDYSEK MD (NPI 1063200749) is an individual student in an organized health care education/training program in Falls Church, Virginia and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1063200749
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameWAVERLY BROOKE KUNDYSEKCredential: MD
Location Address3300 GALLOWS RDFalls Church, VA 22042-3307
Mailing Address7252 Lake Edge DrDallas, TX 75230-2397 · (214) 796-7089
Sole ProprietorNo
Enumeration DateApril 30, 2025
Last NPPES UpdateJune 26, 2025
NPPES CertifiedJune 26, 2025
NPI 1063200749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPediatricsTaxonomy 208000000X · License 0116040500 (VA)
3300 GALLOWS RD, Falls Church, VA 22042

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Obstetrics & Gynecology
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Nurse Practitioner (Acute Care)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Pediatrics
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Nurse Anesthetist, Certified Registered
3300 GALLOWS RD
FALLS CHURCH, VA 22042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Waverly Kundysek's NPI number?

The NPI number for Waverly Kundysek is 1063200749. It was assigned to this individual provider in the NPPES registry on April 30, 2025.

Where is Waverly Kundysek located?

Waverly Kundysek practices at 3300 Gallows Rd, Falls Church, VA 22042. The listed phone number is (703) 776-4002.

What is Waverly Kundysek's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Waverly Kundysek was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.