Individual provider Active NPI

Maria Obeid, DNP, AGNP-BC

  • Adult Health Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1467850024
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AG0814039 Issued in VA
Practice address
3930 Walnut St
Suite 220
Fairfax, VA 22030-4738
Phone
(703) 246-9505
Fax
(703) 246-9507
NPI assigned
Dec 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AG0814039 VA Primary

Addresses

Primary practice location

3930 Walnut St
Suite 220
Fairfax, VA 22030-4738

Mailing address

6905 Jefferson Ave
Falls Church, VA 22042-1934
Phone (703) 861-8105

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AG0814039VAMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: maria.obeid.1@19059.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1467850024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 JEFFERSON AVE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421934",
            "telephone_number": "703-861-8105",
            "fax_number": "703-246-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 WALNUT ST",
            "address_2": "SUITE 220",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304738",
            "telephone_number": "703-246-9505",
            "fax_number": "703-246-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEID",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DNP, AGNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "AG0814039",
            "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 Dec 15, 2014; 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.