Active NPI
Liana E Matevosian, NP
- Nurse Practitioner
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024175817
- Practice address
- 4320 Seminary Rd
Alexandria, VA 22304-1535 - Phone
- (703) 504-3000
- Fax
- (703) 504-3388
- NPI assigned
- May 7, 2018
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 0024175817 | VA | |
| Nurse Practitioner | 363L00000X | 0024175817 | VA | Primary |
Addresses
Primary practice location
4320 Seminary Rd
Alexandria, VA 22304-1535
Mailing address
PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699
Other practice location 1
13104 Cross Keys Ct
Fairfax, VA 22033-1426
Phone (703) 944-8546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600
4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 771-2960
8503 Arlington Blvd
Fairfax, VA 22031-4628
Phone (703) 970-2670
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024175817 | VA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Coast Hospice Inc. | Current | Accepting new patients | |
| Fairfax Internal Medicine Associates, PC | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| East Coast Valley Home Health Inc | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients |
Locations
4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000
8503 Arlington Blvd
Fairfax, VA 22031
Phone (703) 970-2670
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
8302 Old Courthouse Rd
Ste C
Vienna, VA 22182
Phone (703) 462-8138
Interoperability endpoints
- lmatevosian587469@soc.inova.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| East Coast Valley Home Health Inc | Home health agency | 5% Or Greater Direct Ownership Interest (33%) W-2 Managing Employee (33%) |
Feb 7, 2024 Feb 7, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Fairfax, VA
- NPI 1437913134
5% Or Greater Direct Ownership Interest, W-2 Managing Employee
Organizations & group practices 5
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.
-
dba East Coast Hospice
- Community Based Hospice Care Agency
- Fairfax, VA
- NPI 1043005432
-
- Home Health Agency
- Fairfax, VA
- NPI 1437913134
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Alexandria Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
dba Inova Fair Oaks Hospital
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1033608989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37174",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973174",
"telephone_number": "571-423-5699",
"fax_number": "571-423-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 SEMINARY RD",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041535",
"telephone_number": "703-504-3000",
"fax_number": "703-504-3388"
}
],
"practiceLocations": [
{
"address_1": "13104 Cross Keys Ct",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220331426",
"country_code": "US",
"telephone_number": "703-944-8546",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATEVOSIAN",
"first_name": "LIANA",
"middle_name": "E",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-07",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "VA",
"license": "0024175817",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024175817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.