Active NPI
Farideh Abbasi
- Nurse Practitioner
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024167599
- Practice address
- 2740 Prosperity Ave Ste 100
Fairfax, VA 22031-4354 - Phone
- (571) 623-3390
- Fax
- (703) 204-9022
- NPI assigned
- Dec 4, 2007
- Last updated
- Nov 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024167599 | VA | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 0024167599 | VA |
Addresses
Primary practice location
2740 Prosperity Ave Ste 100
Fairfax, VA 22031-4354
Mailing address
2740 Prosperity Ave Ste 100
Fairfax, VA 22031-4354
Phone (571) 623-3390
Other practice location 1
9401 Lee Hwy
Suite 400
Fairfax, VA 22031-1849
Phone (703) 383-4836
Other practice location 2
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (571) 623-3390
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fabbasi518565@soc.inova.org | Health Information Exchange (HIE) | Inova Health Care Services |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024167599 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Inova Cares - Community | Nurse Practitioner | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients |
Locations
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
2740 Prosperity Ave
Ste 100
Fairfax, VA 22031
Phone (571) 623-3390
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
8644 Sudley Rd
#220
Manassas, VA 20110
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.
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Alexandria Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
dba Inova Fairfax Hospital
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
dba Inova Fairfax Hospital
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
dba Inova Mount Vernon Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1922139120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1326220047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2740 PROSPERITY AVE STE 100",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314354",
"telephone_number": "571-623-3390",
"fax_number": "703-204-9022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 PROSPERITY AVE STE 100",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314354",
"telephone_number": "571-623-3390",
"fax_number": "703-204-9022"
}
],
"practiceLocations": [
{
"address_1": "9401 Lee Hwy",
"address_2": "SUITE 400",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220311849",
"country_code": "US",
"telephone_number": "703-383-4836",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3300 Gallows Rd",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220423307",
"country_code": "US",
"telephone_number": "571-623-3390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABBASI",
"first_name": "FARIDEH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-04",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024167599",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "VA",
"license": "0024167599",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fabbasi518565@soc.inova.org",
"affiliation": "Y",
"endpointDescription": "Health Information Exchange",
"affiliationName": "Inova Health Care Services",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "2740 Prosperity Ave Ste 100",
"city": "Fairfax",
"state": "VA",
"country_code": "US",
"postal_code": "220314354",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.