Active NPI
Katherine Baylor Bartholomay, FNP-BC
- Family Nurse Practitioner
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024167498
- Practice address
- 3801 University Dr Ste 300
Fairfax, VA 22030-2503 - Phone
- (703) 383-8130
- Fax
- (703) 383-7353
- NPI assigned
- Nov 13, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0017138926 | VA | |
| Otorhinolaryngology & Head-Neck Registered Nurse | 163WX0601X | 0017138926 | VA | |
| Family Nurse Practitioner | 363LF0000X | 0024167498 | VA | Primary |
Addresses
Primary practice location
3801 University Dr Ste 300
Fairfax, VA 22030-2503
Mailing address
3801 University Dr Ste 300
Fairfax, VA 22030-2503
Phone (703) 383-8130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194905653 | Other | VA | NPI |
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
- University of North Carolina at Chapel Hill School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24805 Pinebrook Rd
Suite 201
Chantilly, VA 20152-4128
Phone (703) 383-8130
3801 University Dr
Suite 300
Fairfax, VA 22030-2503
Phone (703) 383-8130
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024167498 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otolaryngology Associates, PC | Current | Accepting new patients |
Locations
24805 Pinebrook Rd
Ste 201
Chantilly, VA 20152
Phone (703) 327-4900
3801 University Dr
#200
Fairfax, VA 22030
3801 University Dr
Fl 3
Fairfax, VA 22030
Phone (703) 383-8130
3801 University Dr
Ste 300
Fairfax, VA 22030
Phone (703) 383-8130
3801 University Dr
#300
Fairfax, VA 22030
Phone (703) 383-8130
1850 Town Center Pkwy
#305
Reston, VA 20190
Phone (703) 834-2900
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1194905653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 UNIVERSITY DR STE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302503",
"telephone_number": "703-383-8130",
"fax_number": "703-383-7353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 UNIVERSITY DR STE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302503",
"telephone_number": "703-383-8130",
"fax_number": "703-383-7353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTHOLOMAY",
"first_name": "KATHERINE",
"middle_name": "BAYLOR",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-13",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0017138926",
"primary": false
},
{
"code": "163WX0601X",
"taxonomy_group": "",
"desc": "Registered Nurse, Otorhinolaryngology & Head-Neck",
"state": "VA",
"license": "0017138926",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024167498",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1194905653",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.