Individual provider Active NPI

Helen Karellas Bardis, CPNP

  • Pediatric Nurse Practitioner
  • Manassas, VA
National Provider Identifier
1023298775
Registry record updated Nov 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024167596 Issued in VA
Practice address
9430 Forestwood LN
Suite 100
Manassas, VA 20110-4753
Phone
(703) 365-0227
NPI assigned
Nov 10, 2007
Last updated
Nov 10, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024167596 VA Primary

Addresses

Primary practice location

9430 Forestwood LN
Suite 100
Manassas, VA 20110-4753

Mailing address

9430 Forestwood LN
Suite 100
Manassas, VA 20110-4753
Phone (703) 365-0227

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
I20091123000011 DC Practitioner - Nurse Practitioner 7517006000 Reassigns benefits to 2 organizations
I20200821002972 VA Practitioner - Nurse Practitioner 7517006000 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024167596VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Mar 2, 2024 Accepting new patients
Commonwealth Emergency Physicians PC CurrentSince Nov 9, 2024 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Mar 2, 2024 Accepting new patients
Commonwealth Emergency Physicians PC PastSince Apr 17, 2020 Accepting new patients

Locations

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

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

22505 Landmark Ct
Ashburn, VA 20148
Phone (571) 472-6464

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224 Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

9321 Sanger St
Ste 100
Lorton, VA 22079
Phone (703) 922-7631

Organizations & group practices 4

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": "1194652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194652800000",
    "number": "1023298775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9430 FORESTWOOD LN",
            "address_2": "SUITE 100",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104753",
            "telephone_number": "703-365-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 FORESTWOOD LN",
            "address_2": "SUITE 100",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104753",
            "telephone_number": "703-365-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDIS",
        "first_name": "HELEN",
        "middle_name": "KARELLAS",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-10",
        "last_updated": "2007-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024167596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.