Individual provider Active NPI

Farwa Mateen

  • Advanced Practice Midwife
  • Fredericksburg, VA
National Provider Identifier
1013748151
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
0024190645 Issued in WA
Practice address
4600 Spotsylvania Pkwy
Fredericksburg, VA 22408-7762
Phone
(540) 498-4000
NPI assigned
Aug 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 0024190645 WA Primary

Addresses

Primary practice location

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408-7762

Mailing address

10733 Providence Park Dr
Ashland, VA 23005-7483
Phone (804) 539-7121

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241002000882 VA Practitioner - Certified Nurse Midwife (CNM) 5890226849 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
0024190645WAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Multi-Specialty, LLC CurrentSince Aug 19, 2024 Accepting new patients
Spotsylvania Multi-Specialty Group, LLC PastSince Aug 19, 2024 Accepting new patients
Lewis Plastic Surgery, PC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1451 Hospital Dr
Ste 102
Fredericksburg, VA 22401
Phone (540) 368-5350

4604 Spotsylvania Pkwy
Ste 225
Fredericksburg, VA 22408
Phone (540) 322-1036

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

1451 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 267-6009

Interoperability endpoints

  • Direct secure messaging: farwa.mateen@hca6.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1013748151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10733 PROVIDENCE PARK DR",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230057483",
            "telephone_number": "804-539-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 SPOTSYLVANIA PKWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087762",
            "telephone_number": "540-498-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEEN",
        "first_name": "FARWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "0024190645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.