Active NPI
Bahareh Nazemi, FNP
- Family Nurse Practitioner
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024177826
- Practice address
- 44045 Riverside Pkwy
Leesburg, VA 20176-5101 - Phone
- (703) 858-6202
- Fax
- (703) 858-6230
- NPI assigned
- Sep 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024177826 | VA | Primary |
Addresses
Primary practice location
44045 Riverside Pkwy
Leesburg, VA 20176-5101
Mailing address
20821 Apollo Ter
Ashburn, VA 20147-2826
Phone (703) 403-6239
Other practice location 1
19490 Sandridge Way Ste 240
Lansdowne, VA 20176-3467
Phone (571) 223-5723
Other practice location 2
2501 Parkers Ln
Alexandria, VA 22306-3209
Phone (703) 664-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 Gallows Rd
Falls Church, VA 22042-3307
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 771-2960
Hospital & facility affiliations
- Inova Loudoun Hospital
- Inova Fair Oaks Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024177826 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Single Specialty | Current | Accepting new patients |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Inova Health Care Services | Single Specialty | Current | Accepting new patients |
| Privia Medical Group, LLC | Single Specialty | Current | Accepting new patients |
| Inova Health Care Services | Single Specialty | Current | Accepting new patients |
Locations
2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
44055 Riverside Pkwy
Ste 106
Leesburg, VA 20176
Phone (703) 858-6202
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
DC, Single Specialty
-
- Multi-Specialty Clinic/Center
- Fairfax, VA
- NPI 1669511051
Single Specialty
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1629628698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20821 APOLLO TER",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201472826",
"telephone_number": "703-403-6239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44045 RIVERSIDE PKWY",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201765101",
"telephone_number": "703-858-6202",
"fax_number": "703-858-6230"
}
],
"practiceLocations": [
{
"address_1": "19490 Sandridge Way Ste 240",
"address_purpose": "LOCATION",
"city": "Lansdowne",
"state": "VA",
"postal_code": "201763467",
"country_code": "US",
"telephone_number": "571-223-5723",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2501 Parkers Ln",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223063209",
"country_code": "US",
"telephone_number": "703-664-7000",
"fax_number": "703-664-7666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAZEMI",
"first_name": "BAHAREH",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-12",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024177826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.