Moazma Shahid, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024178233 Issued in VA

Practice address

3053 Nutley St
Fairfax, VA 22031-1931

Phone

(703) 560-4862

NPI assigned

Aug 6, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1750936944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 GUM SPRINGS VILLAGE DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223062857",
            "telephone_number": "571-286-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 NUTLEY ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311931",
            "telephone_number": "703-560-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHID",
        "first_name": "MOAZMA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swati Shah, PHARMD
• Urvi P Shah, PT
• Vijal Shah, O.D.
• Syed T Shahab, M.D.
• Tamara Shaheer
• Mehrine Shaikh, M.D.
• Theresa M. Shaltanis, M.A., LPC, LMFT
• Whitney Hodges Shanley
• Nomi Shaool, M.D.
• Alan D Shapiro, MD

• Family Nurse Practitioner in Fairfax, VA
• Providers in Fairfax, 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 Sep 22, 2021; 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.