Individual provider Active NPI

Amanda Batistatos, CPNP-PC

  • Pediatric Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1275471427
Registry record updated Mar 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024194605 Issued in VA
Practice address
3023 Hamaker CT Ste 300
Fairfax, VA 22031-2240
Phone
(703) 876-2788
NPI assigned
Mar 21, 2026
Last updated
Mar 21, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024194605 VA Primary

Addresses

Primary practice location

3023 Hamaker CT Ste 300
Fairfax, VA 22031-2240

Mailing address

3023 Hamaker CT Ste 300
Fairfax, VA 22031-2240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024194605VAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1774051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774051200000",
    "number": "1275471427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 HAMAKER CT STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 HAMAKER CT STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312240",
            "telephone_number": "703-876-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATISTATOS",
        "first_name": "AMANDA",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-03-21",
        "last_updated": "2026-03-21",
        "certification_date": "2026-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024194605",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.