Individual provider Active NPI

Katya Simon, CNM

  • Advanced Practice Midwife
  • Fairfax, VA
National Provider Identifier
1235641325
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
0024175544 Issued in VA
Practice address
8303 Arlington Blvd Ste 209
Fairfax, VA 22031-2903
Phone
(703) 559-0271
NPI assigned
Oct 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 0024175544 VA
Advanced Practice Midwife 367A00000X 0024175544 VA Primary

Addresses

Primary practice location

8303 Arlington Blvd Ste 209
Fairfax, VA 22031-2903

Mailing address

14309 Rich Branch Dr
North Potomac, MD 20878-2485
Phone (443) 545-9328

Other practice location 1

4000 Coliseum Dr Ste 280
Hampton, VA 23666-5974
Phone (757) 827-2455

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240318000847 VA Practitioner - Certified Nurse Midwife (CNM) 7911344627 Reassigns benefits to 1 organization
I20250205003454 DC Practitioner - Certified Nurse Midwife (CNM) 7911344627 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
0024175544VAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Dec 17, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 17, 2024 Accepting new patients
Sentara Medical Group CurrentSince Dec 27, 2023 Accepting new patients
Akusherka LLC Obstetrics & Gynecology Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

8303 Arlington Blvd
Ste 205
Fairfax, VA 22031
Phone (703) 560-0050

8303 Arlington Blvd
Ste 209
Fairfax, VA 22031
Phone (703) 559-0271

4000 Coliseum Dr
Ste 280
Hampton, VA 23666
Phone (757) 722-7401

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

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, 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": "1509235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1235641325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14309 RICH BRANCH DR",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782485",
            "telephone_number": "443-545-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 ARLINGTON BLVD STE 209",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312903",
            "telephone_number": "703-559-0271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Coliseum Dr Ste 280",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236665974",
            "country_code": "US",
            "telephone_number": "757-827-2455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "KATYA",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-29",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "VA",
            "license": "0024175544",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024175544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.