Mehrnoush Rafati Fakhriyazdi, APRN-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024165408 Issued in VA

Practice address

9520 Burke Rd
Burke, VA 22015-3132

Phone

(703) 425-8616

Fax

(703) 425-8743

NPI assigned

May 4, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• I Care Inc

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Annandale, VA
  • NPI 1992845762
  NPD (past)

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1669790440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 BURKE RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153132",
            "telephone_number": "703-425-8618",
            "fax_number": "703-425-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 BURKE RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153132",
            "telephone_number": "703-425-8616",
            "fax_number": "703-425-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKHRIYAZDI",
        "first_name": "MEHRNOUSH",
        "middle_name": "RAFATI",
        "name_prefix": "Mrs.",
        "credential": "APRN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001124820",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024165408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Michelle Eppink, M.ED.
• Every Child Advocacy Foundation
• Everyday Eyecare Inc.
• Eyecare About Eyes, PLLC
• Lori Ann Facktor, O.D.
• Beverly Farmelo, LPC
• Alison Ann Fedio, PH.D., PSY.D.
• Carol Feike
• Robin Sharon Fernandez
• Matthew Earl Flynn, DPT

• Family Nurse Practitioner in Burke, VA
• Providers in Burke, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.