Active NPI
Narges Ghodsimaab
- Family Nurse Practitioner
- Purcellville, VA
National Provider Identifier
1033599485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024172742
- Practice address
- 801 E Main St
Purcellville, VA 20132-3131 - Phone
- (540) 338-4195
- NPI assigned
- Jun 1, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001209631 | VA | |
| Family Nurse Practitioner | 363LF0000X | 0024172742 | VA | Primary |
Addresses
Primary practice location
801 E Main St
Purcellville, VA 20132-3131
Mailing address
43860 Arborvitae Dr
Ashburn, VA 20147-5659
Phone (571) 594-2076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001209631 | VA | MD | Registered Nurse |
| 0024172742 | VA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1033599485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43860 ARBORVITAE DR",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201475659",
"telephone_number": "571-594-2076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E MAIN ST",
"city": "PURCELLVILLE",
"state": "VA",
"postal_code": "201323131",
"telephone_number": "540-338-4195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHODSIMAAB",
"first_name": "NARGES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-01",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001209631",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024172742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Purcellville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.