Individual provider Active NPI

Shradha Pandey, FNP-BC

  • Family Nurse Practitioner
  • Sterling, VA
National Provider Identifier
1194235242
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024175230 Issued in VA
Practice address
46165 Westlake Dr Ste 120
Sterling, VA 20165-5872
Phone
(703) 444-3302
NPI assigned
Oct 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 0024175230 VA Primary

Addresses

Primary practice location

46165 Westlake Dr Ste 120
Sterling, VA 20165-5872

Mailing address

46165 Westlake Dr Ste 120
Sterling, VA 20165-5872
Phone (703) 444-3302

Other practice location 1

12998 Terminal Way
Woodbridge, VA 22193-6122
Phone (303) 895-6242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171214001867 VA Practitioner - Nurse Practitioner 0042578361 Reassigns benefits to 1 organization
I20230330000035 DC Practitioner - Nurse Practitioner 0042578361 Reassigns benefits to 1 organization

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
Dr Arun K Gupta PCGroup PAC ID 5294714044, 4 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

10560 Main St
Suite 210
Fairfax, VA 22030-7176
Phone (703) 273-3613

2600 Compass Rd
Glenview, IL 60026-8001

9306 Forest Point Cir
Manassas, VA 20110-4700
Phone (703) 330-3322

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Virginia - Front Royal, LLC CurrentSince Oct 5, 2025 Accepting new patients
Manassas Primary Care, LLC PastSince Sep 4, 2011 Accepting new patients

Locations

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJAEAA/Endpoint/GJAEAA

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194235242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46165 WESTLAKE DR STE 120",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655872",
            "telephone_number": "703-444-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46165 WESTLAKE DR STE 120",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655872",
            "telephone_number": "703-444-3302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12998 Terminal Way",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221936122",
            "country_code": "US",
            "telephone_number": "303-895-6242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANDEY",
        "first_name": "SHRADHA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

Verify at the official NPI Registry.