Balika Paudel Gautam

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024194853 Issued in VA

Practice address

8609 Sudley Rd Ste 105&204
Manassas, VA 20110-8321

Phone

(703) 393-8883

Fax

(866) 765-1362

NPI assigned

Nov 4, 2025

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: balika.paudel.gautam.1@3238.direct.athenahealth.com

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1881563070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4932 LONGMIRE WAY",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512543",
            "telephone_number": "703-393-8883",
            "fax_number": "866-765-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 SUDLEY RD STE 105&204",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108321",
            "telephone_number": "703-393-8883",
            "fax_number": "866-765-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUDEL GAUTAM",
        "first_name": "BALIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024194853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice a. Alvarado, PHD LLC
• David Patterson, CRNA
• Paul, Patterson, DDS, MS
• Kami Jones Patton, MA, LPC, RPT
• Sarah Patton
• Paul C Desper MD
• Angela Paul
• Shweta Paulraj
• Kathleen Ann Paulter, RN, FNP
• Susan Clair Payne

• Family Nurse Practitioner in Manassas, VA
• Providers in Manassas, 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 Nov 4, 2025; 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.