Nahid Ghassemi
Individual provider Active NPI Nursing Facility/Intermediate Care Facility · Great Falls, VA
NPI 1033244249 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1033244249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- 0019001260 (VA)
- Practice address
- 10130B Colvin Run Rd.
Great Falls, VA 22066 - Phone
- (703) 759-2200
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0019001260 | VA | MD | Nursing Facility/Intermediate Care Facility |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 0019001260 | VA | Yes |
Addresses
Primary practice location
10130B Colvin Run Rd.
Great Falls, VA 22066
Mailing address
10130B Colvin Run Rd.
Great Falls, VA 22066
Phone (703) 759-2200
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All providers in Great Falls, VA · Nursing Facility/Intermediate Care Facility in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.