Individual provider Active NPI

Megan Bastawrous, FNP-C

  • Family Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1467275842
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024191581 Issued in VA
Practice address
3028 Javier Rd Ste 300
Fairfax, VA 22031-4622
Phone
(703) 698-8960
NPI assigned
Nov 5, 2024
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024191581 VA Primary

Addresses

Primary practice location

3028 Javier Rd Ste 300
Fairfax, VA 22031-4622

Mailing address

2840 Hunter Rd
Fairfax, VA 22031-1418
Phone (571) 283-9758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024191581VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Northern Virginia, LLC CurrentSince Jan 1, 2025 Accepting new patients
Old Dominion Anesthesia LLC Past Accepting new patients

Locations

9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820

3022 Williams Dr
Ste 301
Fairfax, VA 22031
Phone 7032959360121

3028 Javier Rd
Ste 300
Fairfax, VA 22031
Phone (703) 895-3740

24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1467275842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 HUNTER RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311418",
            "telephone_number": "571-283-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 JAVIER RD STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314622",
            "telephone_number": "703-698-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTAWROUS",
        "first_name": "MEGAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024191581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.