Individual provider Active NPI

Ladan M Hussein, MANAGER

  • Home Health Registered Nurse
  • Burke, VA
National Provider Identifier
1093242653
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
1093242653 Issued in VA
Practice address
8989 Cotswold Dr Ste 8
Burke, VA 22015-1658
Phone
(703) 348-7684
Fax
(703) 997-2264
NPI assigned
May 15, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 1093242653 VA Primary

Addresses

Primary practice location

8989 Cotswold Dr Ste 8
Burke, VA 22015-1658

Mailing address

8989 Cotswold Dr Ste 8
Burke, VA 22015-1658
Phone (703) 348-7684

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1093242653VAMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Brighthome Healthcare, LLC PastSince Jul 24, 2022 Accepting new patients

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, 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": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093242653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8989 COTSWOLD DR STE 8",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151658",
            "telephone_number": "703-348-7684",
            "fax_number": "703-997-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8989 COTSWOLD DR STE 8",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151658",
            "telephone_number": "703-348-7684",
            "fax_number": "703-997-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEIN",
        "first_name": "LADAN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MANAGER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "VA",
            "license": "1093242653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.