Individual provider Active NPI

Farideh Abbasi

  • Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1326220047
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024167599 Issued in VA
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, 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
I20150311000337 DC Practitioner - Nurse Practitioner 2961621313 Reassigns benefits to 2 organizations
I20150401001668 VA Practitioner - Nurse Practitioner 2961621313 Reassigns benefits to 2 organizations

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
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

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

LicenseStateTypeSpecialty
0024167599VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 26, 2014 Accepting new patients
Inova Health Care Services CurrentSince Apr 1, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 26, 2014 Accepting new patients
Inova Cares - Community Nurse Practitioner CurrentSince May 29, 2022 Accepting new patients
Inova Health Care Services CurrentSince Apr 1, 2018 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.