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Iman Fatima Khatib

Counselor - Professional β€’ Reston, VA

Active NPI 1942971619 Individual Practitioner Female Practitioner
Practice location in NPPES

11484 Washington Plz W Ste 300
Reston, VA 201904342

Call 7034432000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

11484 Washington Plz W Ste 300

Reston, VA 201904342

Telephone 7034432000
Organization at the Same NPPES Address or Phone
Genoa Healthcare Llc Facility NPI 1891145934

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Arlington, VA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Reston and Virginia

81 active clinicians are listed under Counselor - Professional with a practice address in Reston, VA (6,481 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Reston

4.9% of these 81 clinicians have the CMS telehealth indicator.

21% of these 81 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-09-21
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES VA 0701010420
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Secondary Practice Locations

5303 Lee Hwy

Arlington, VA 222071607

Phone: 8552847483

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

14 listed
Dr. Cindy Anderson , MD

Internal Medicine

NPI 1407057631

Doctor of Medicine (M.D.)

Mary Bonvissuto , APRN

Nurse Practitioner - Primary Care

NPI 1316713480

Advanced Practice Registered Nurse

Evanna Burkett , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1255504742

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

NPI 1538314430

Doctor of Dental Surgery

Dr. Carolyn Garcia , MD

Obstetrics & Gynecology

NPI 1871571349

Doctor of Medicine (M.D.)

Adrianne Gruner , FNP

Nurse Practitioner - Primary Care

NPI 1023777273

Family Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location September 21, 2022

Registered at 11484 WASHINGTON PLZ W STE 300, RESTON, VA 201904342 (Tel: 7034432000)

πŸ“
Updated Business Mailing Address September 21, 2022

Registered at 11484 WASHINGTON PLZ W STE 300, RESTON, VA 201904342 (Tel: 7034432000)

βœ…
NPI Profile Active September 23, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 23, 2021

Registered at 5303 LEE HWY, ARLINGTON, VA 222071607 (Tel: 8552847483)

πŸ“
Business Mailing Address (Initial Record) September 23, 2021

Registered at 1000 JEFFERSON ST STE 2C, LYNCHBURG, VA 245041724 (Tel: 8552847483)

πŸ‘€
Provider Name / Credentials (Initial Record) September 23, 2021

Recorded as IMAN KHATIB

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2021

Counselor (license number reported to NPPES: VA 0701010420)

🟒
Initial NPI Registration & Enumeration September 23, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1942971619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2021
Last Update: September 21, 2022
Sole Proprietor: No

Mailing Address

11484 Washington Plz W Ste 300

Reston, VA 201904342

Phone: 7034432000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.