Individual provider Active NPI

Nora Habib, NP

  • Nurse Practitioner
  • Fairfax Station, VA
National Provider Identifier
1235761131
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024188110 Issued in VA
Practice address
10983 Clara Barton Dr
Fairfax Station, VA 22039-1432
Phone
(508) 505-8300
NPI assigned
Feb 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024188110 VA Primary

Addresses

Primary practice location

10983 Clara Barton Dr
Fairfax Station, VA 22039-1432

Mailing address

10983 Clara Barton Dr
Fairfax Station, VA 22039-1432
Phone (508) 505-8300

Other names 1

  • Miss Nora Samy Mesdary Professional name

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
I20240222002013 DC Practitioner - Nurse Practitioner 9032553623 Reassigns benefits to 1 organization
I20240227003512 VA Practitioner - Nurse Practitioner 9032553623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

3025 Berkmar Dr
Suite 1
Charlottesville, VA 22901-1456
Phone (434) 973-1831

3903 Fair Ridge Dr
Suite 219
Fairfax, VA 22033-2945
Phone (703) 865-6490

8130 Boone Blvd
Suite 110
Vienna, VA 22182-2640
Phone (571) 982-6636

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024188110VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Dec 30, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 30, 2023 Accepting new patients
Nova Physician Wellness Center PLLC 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

4820 31st St S
Ste B
Arlington, VA 22206
Phone (703) 865-6542

3025 Berkmar Dr
Charlottesvle, VA 22901
Phone (434) 973-1831

3903 Fair Ridge Dr
Ste 209
Fairfax, VA 22033
Phone (571) 349-2191

19415 Deerfield Ave
Ste 202
Leesburg, VA 20176
Phone (703) 858-3230

8644 Sudley Rd
#220
Manassas, VA 20110

24430 Stone Springs Blvd
Ste 230
Sterling, VA 20166
Phone (703) 730-2000

8130 Boone Blvd
Ste 110
Vienna, VA 22182
Phone (703) 362-4260

14010 Smoketown Rd
Ste 105
Woodbridge, VA 22192
Phone (703) 730-4848

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nora.habib.1@8042.direct.athenahealth.com

Organizations & group practices 3

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": "1581120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1235761131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10983 CLARA BARTON DR",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220391432",
            "telephone_number": "508-505-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10983 CLARA BARTON DR",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220391432",
            "telephone_number": "508-505-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIB",
        "first_name": "NORA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-08",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024188110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORA",
            "last_name": "MESDARY",
            "middle_name": "SAMY",
            "prefix": "MISS",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fairfax Station, VA

Sources for this page

Verify at the official NPI Registry.