Individual provider Active NPI

Blessy Sebastian, DNP, FNP-C

  • Family Nurse Practitioner
  • Manassas, VA
National Provider Identifier
1548715261
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024173686 Issued in VA
Practice address
8640 Sudley Rd Ste 203
Manassas, VA 20110-4404
Phone
(703) 368-3161
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 0024173686 VA
Family Nurse Practitioner 363LF0000X 0024173686 VA Primary

Addresses

Primary practice location

8640 Sudley Rd Ste 203
Manassas, VA 20110-4404

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

6356 Hoadly Rd
Manassas, VA 20112-3422
Phone (703) 590-5999

Other practice location 2

6356 Hoadly Rd
Manassas, VA 20112
Phone (703) 590-5999

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bsebastian544852@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20170316000293 VA Practitioner - Nurse Practitioner 1759664899 Reassigns benefits to 1 organization
I20220824001760 DC Practitioner - Nurse Practitioner 1759664899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trinity Family Practice LLCGroup PAC ID 2466835426, 2 clinicians

Practice addresses (Care Compare)

14260 R Centreville SQ
Centreville, VA 20121-2364
Phone (571) 459-2640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uva Community Health Medical Group, LLC CurrentSince May 29, 2018 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince May 29, 2018 Accepting new patients

Locations

10322 Bristow Center Dr
Bristow, VA 20136
Phone (571) 284-4230

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

8640 Sudley Rd
Ste 203
Manassas, VA 20110
Phone (703) 368-3161

Interoperability endpoints

  • Direct secure messaging: blessy.sebastian.1@32329.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548715261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8640 SUDLEY RD STE 203",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104404",
            "telephone_number": "703-368-3161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6356 Hoadly Rd",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201123422",
            "country_code": "US",
            "telephone_number": "703-590-5999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6356 Hoadly Rd",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "20112",
            "country_code": "US",
            "telephone_number": "703-590-5999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "BLESSY",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024173686",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bsebastian544852@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "6356 Hoadly Rd",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201123422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.