Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Unalivia Buracker, PA-C

Individual provider Dermatology Physician · NPI 1174901953

Amanda Unalivia Buracker, PA-C is a Physician Assistant in Fairfax, Virginia. Qualified in 2014, 12 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Mexico and Virginia.

Years since qualifying
12
Licensed in
NM, VA
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3025 Hamaker Ct Ste 340
Fairfax, VA 22031-2237
Phone: (703) 849-8036
Fax: (703) 204-3448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3025 Hamaker Ct Ste 300, Fairfax, VA 22031-2237 — (703) 849-8036

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110005079 (VA)
Dermatology Physician Taxonomy 207N00000X · Licence PA2015-0018 (NM)

Record details

NPI number1174901953
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 12, 2015
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025
Mailing address801 York St, Manitowoc, WI 54220-4630

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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