Individual provider Active NPI

Meagan Nichole Radford, FNP-BC

  • Nurse Practitioner
  • Stuart, VA
National Provider Identifier
1003433590
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024179482 Issued in VA
Practice address
18877 Jeb Stuart Hwy
Stuart, VA 24171-5223
Phone
(276) 340-9507
Fax
(276) 694-2909
NPI assigned
Jun 30, 2020
Last updated
May 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024179482 VA Primary

Addresses

Primary practice location

18877 Jeb Stuart Hwy
Stuart, VA 24171-5223

Mailing address

18877 Jeb Stuart Hwy
Stuart, VA 24171-5223
Phone (276) 694-4466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210326001404 VA Practitioner - Nurse Practitioner 1759798358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oandw EnterprisesGroup PAC ID 6608927298, 216 clinicians

Practice addresses (Care Compare)

18877 Jeb Stuart Hwy
Stuart, VA 24171-5223
Phone 2766944466108

935 Fairystone Park Hwy
Stanleytown, VA 24168-3014
Phone (888) 724-0268

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024179482VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick County Family Practice,PC CurrentSince Jan 21, 2021 Accepting new patients
Patrick Urgent Care CurrentSince Jan 21, 2021 Accepting new patients
Patrick County Family Practice PC Past Accepting new patients

Locations

18877 Jeb Stuart Hwy
Stuart, VA 24171
Phone (276) 694-4466

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61556

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1003433590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18877 JEB STUART HWY",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241715223",
            "telephone_number": "276-694-4466",
            "fax_number": "276-694-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18877 JEB STUART HWY",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241715223",
            "telephone_number": "276-340-9507",
            "fax_number": "276-694-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADFORD",
        "first_name": "MEAGAN",
        "middle_name": "NICHOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024179482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, VA

Sources for this page

Verify at the official NPI Registry.