Individual provider Active NPI

Leah Rose Rearick, PA-C

  • Physician Assistant
  • Winchester, VA
National Provider Identifier
1033469317
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0101250786 Issued in VA
Practice address
1870 Amherst St Ste 2B
Suite 2B
Winchester, VA 22601-2841
Phone
(540) 536-6721
Fax
(540) 536-6724
NPI assigned
Sep 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C04783 MD
Physician Assistant 363A00000X 0101250786 VA Primary

Addresses

Primary practice location

1870 Amherst St Ste 2B
Suite 2B
Winchester, VA 22601-2841

Mailing address

1870 Amherst St Ste 2B
Suite 2B
Winchester, VA 22601-2841
Phone (540) 536-6721

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
I20161221001325 VA Practitioner - Physician Assistant 3870731920 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C04783MDMDPhysician Assistant
0101250786VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Enterprise, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Valley Physician Enterprise, Inc. Past Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

1870 Amherst St
Ste 2B
Winchester, VA 22601
Phone (540) 536-6721

220 Campus Blvd
Ste 200
Winchester, VA 22601
Phone (540) 536-0307

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1033469317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 AMHERST ST STE 2B",
            "address_2": "SUITE 2B",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012841",
            "telephone_number": "540-536-6721",
            "fax_number": "540-536-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 AMHERST ST STE 2B",
            "address_2": "SUITE 2B",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012841",
            "telephone_number": "540-536-6721",
            "fax_number": "540-536-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARICK",
        "first_name": "LEAH",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C04783",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0101250786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.