Individual provider Active NPI

Firozan Bakhhtiar

  • Home Health Aide
  • Woodbridge, VA
National Provider Identifier
1548076607
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
T6P5AQ6 Issued in VA
Practice address
15293 Waterwheel Ter
Woodbridge, VA 22191-3832
Phone
(202) 725-0616
NPI assigned
Dec 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X T6P5AQ6 VA Primary

Addresses

Primary practice location

15293 Waterwheel Ter
Woodbridge, VA 22191-3832

Mailing address

15293 Waterwheel Ter
Woodbridge, VA 22191-3832
Phone (202) 725-0616

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
T6P5AQ6VAMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1548076607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15293 WATERWHEEL TER",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913832",
            "telephone_number": "202-725-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15293 WATERWHEEL TER",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913832",
            "telephone_number": "202-725-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKHHTIAR",
        "first_name": "FIROZAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "VA",
            "license": "T6P5AQ6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.