Individual provider Active NPI

Muzhda Asadi, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Aldie, VA
National Provider Identifier
1972265221
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024181421 Issued in VA
Practice address
24954 Flaming Tree Court
Aldie, VA 20105-2010
Phone
(703) 474-4243
NPI assigned
Oct 13, 2021
Last updated
Jan 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
Adult Health Nurse Practitioner 363LA2200X 0024181421 VA Primary
Adult Health Clinical Nurse Specialist 364SA2200X 0024181421 VA

Addresses

Primary practice location

24954 Flaming Tree Court
Aldie, VA 20105-2010

Mailing address

24954 Flaming Tree Court
Aldie, VA 20105

Other identifiers 1

IdentifierTypeStateIssuer
0000000Other000000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL2 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
I20220510002322 VA Practitioner - Nurse Practitioner 2860629425 Reassigns benefits to 1 organization
I20260129002572 FL Practitioner - Nurse Practitioner 2860629425

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024181421VAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC Single Specialty CurrentSince Jan 1, 2022 Accepting new patients
Care 4 Future, LLC Current Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1806 Summit Ave
Richmond, VA 23230
Phone (804) 352-2487

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1972265221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24954 FLAMING TREE COURT",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "20105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24954 FLAMING TREE COURT",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201052010",
            "telephone_number": "703-474-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASADI",
        "first_name": "MUZHDA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024181421",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "VA",
            "license": "0024181421",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "000000",
            "identifier": "0000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aldie, VA

Sources for this page

Verify at the official NPI Registry.