NASREEN ABDULMANNAN — NPI 1689030942 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Women’s Health in ANNANDALE, VA)

CMS-1500 Box 24J / 33a • NPI

1689030942

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

364SW0102X (CMS 89)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Women’s Health

Box 32 Service Location & ZIP+4

7601 LITTLE RIVER TPKE, SUITE 215, ANNANDALE, VA, 22003-2601

✓ 9-Digit EDI 837 ZIP+4 (22003-2601)

Practice Phone & Referral Fax

(703) 791-9480

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1689030942 (NASREEN ABDULMANNAN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1689030942` (NPI-1 Individual Practitioner)
Provider / Legal Name	NASREEN ABDULMANNAN
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Women’s Health NUCC Code: `364SW0102X` (Clinical Nurse Specialist, Women's Health)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	7601 LITTLE RIVER TPKE, SUITE 215, ANNANDALE, VA, 22003-2601
Practice Telephone / Fax	Tel: (703) 791-9480
Administrative Mailing Address	10524 ROSEHAVEN ST, FAIRFAX, VA, 22030-2865
Enumeration & Last Sync	Enumerated: 2016-01-01 \| CMS Record Updated: 2016-01-01

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

7601 LITTLE RIVER TPKE, SUITE 215, ANNANDALE, VA, 22003-2601

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Plain-English Taxonomy & CMS Crosswalk (364SW0102X)

What Does Taxonomy Code 364SW0102X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 364SW0102X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Women’s Health"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 89 (Certified Clinical Nurse Specialist)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Clinical Nurse Specialist, Women's Health for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (NASREEN ABDULMANNAN)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`364SW0102X` — Clinical Nurse Specialist, Women's Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Women’s Health	State: MD \| License: `R195371` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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NASREEN ABDULMANNAN (NPI #1689030942)