Individual provider Active NPI

Catherine M Wied

  • Primary Care Nurse Practitioner
  • Manassas, VA
National Provider Identifier
1730930389
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0024189190 Issued in VA
Practice address
10945 George Mason Cir Ste 105
Manassas, VA 20110-2233
Phone
(703) 361-5116
Fax
(571) 364-8911
NPI assigned
Apr 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 0024189190 VA Primary

Addresses

Primary practice location

10945 George Mason Cir Ste 105
Manassas, VA 20110-2233

Mailing address

10945 George Mason Cir Ste 105
Manassas, VA 20110-2233
Phone (703) 361-5116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20240807004008 DC Practitioner - Nurse Practitioner 0042754988 Reassigns benefits to 1 organization
I20241021003318 VA Practitioner - Nurse Practitioner 0042754988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10945 George Mason Cir
Suite 105
Manassas, VA 20110-2233
Phone (703) 361-5116

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024189190VAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uva Community Health Medical Group, LLC CurrentSince Jan 13, 2025 Accepting new patients
Dr Arun K Gupta PC CurrentSince May 27, 2024 Accepting new patients

Locations

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

10560 Main St
Ste 210
Fairfax, VA 22030
Phone (703) 273-3613

9306 Forest Point Cir
Manassas, VA 20110
Phone (703) 330-3322

10945 George Mason Cir
Ste 105
Manassas, VA 20110
Phone (703) 361-5116

Interoperability endpoints

  • Direct secure messaging: cwied660997@direct.healthsystem.virginia.edu

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1730930389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10945 GEORGE MASON CIR STE 105",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102233",
            "telephone_number": "703-361-5116",
            "fax_number": "571-364-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10945 GEORGE MASON CIR STE 105",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102233",
            "telephone_number": "703-361-5116",
            "fax_number": "571-364-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIED",
        "first_name": "CATHERINE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024189190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.