Individual provider Active NPI

Hamdi Hagiyusuf, FNP

  • Family Nurse Practitioner
  • Chantilly, VA
National Provider Identifier
1023435989
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024171301 Issued in VA
Practice address
14391 Chantilly Crossing LN
Chantilly, VA 20151-2118
Phone
(571) 262-0021
NPI assigned
Mar 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024171301 VA Primary

Addresses

Primary practice location

14391 Chantilly Crossing LN
Chantilly, VA 20151-2118

Mailing address

14391 Chantilly Crossing LN
Chantilly, VA 20151-2118
Phone (571) 262-0021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Jun 15, 2016 Accepting new patients

Locations

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

14391 Chantilly Crossing Ln
Chantilly, VA 20151
Phone (571) 262-0021

10301 New Guinea Rd
Fairfax, VA 22032
Phone (571) 261-5052

13301 Gateway Center Dr
Gainesville, VA 20155
Phone (571) 261-5052

1200 Edwards Ferry Rd NE
Leesburg, VA 20176
Phone (703) 737-6431

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

9900 Sowder Village Sq
Manassas, VA 20109
Phone (703) 257-6969

Organizations & group practices 1

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": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1023435989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14391 CHANTILLY CROSSING LN",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512118",
            "telephone_number": "571-262-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14391 CHANTILLY CROSSING LN",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512118",
            "telephone_number": "571-262-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGIYUSUF",
        "first_name": "HAMDI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

Verify at the official NPI Registry.