Individual provider Active NPI

Nahid Shirvanian Asgari, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Gainesville, VA
National Provider Identifier
1306990296
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024165097 Issued in VA
Practice address
14380 McGraws Corner Dr
Gainesville, VA 20155-1866
Phone
(703) 715-9584
NPI assigned
Jan 22, 2007
Last updated
Nov 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024165097 VA Primary
Nurse Practitioner 363L00000X AC000371 MD

Addresses

Primary practice location

14380 McGraws Corner Dr
Gainesville, VA 20155-1866

Mailing address

14380 McGraws Corner Dr
Gainesville, VA 20155-1866
Phone (703) 715-9584

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
AC000371MDMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1306990296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14380 MCGRAWS CORNER DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551866",
            "telephone_number": "703-715-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14380 MCGRAWS CORNER DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551866",
            "telephone_number": "703-715-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASGARI",
        "first_name": "NAHID",
        "middle_name": "SHIRVANIAN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024165097",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "AC000371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.