Individual provider Active NPI

Katherine Baylor Bartholomay, FNP-BC

  • Family Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1194905653
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024167498 Issued in VA
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

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1194905653OtherVANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20181016003599 DC Practitioner - Nurse Practitioner 2264784420 Reassigns benefits to 1 organization
I20181030003249 VA Practitioner - Nurse Practitioner 2264784420 Reassigns benefits to 1 organization

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
Otolaryngology Associates PCGroup PAC ID 8022188069, 31 clinicians

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

LicenseStateTypeSpecialty
0024167498VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Otolaryngology Associates, PC CurrentSince Nov 1, 2018 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

Verify at the official NPI Registry.