NPIMap

Organization Active NPI

Apple Blossom Family Practice PLLC

  • Family Medicine Physician
  • Winchester, VA
National Provider Identifier
1043216708
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101057879 Issued in VA
Legal business name
APPLE BLOSSOM FAMILY PRACTICE PLLC
Practice address
2913 Valley Ave
Suite 200
Winchester, VA 22601-2631
Phone
(540) 678-0792
Fax
(540) 678-0795
NPI assigned
Jun 27, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jessica Panthea Byrd, M.D.
Title
Owner
Phone
(540) 678-0792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101057879 VA Primary

Addresses

Primary practice location

2913 Valley Ave
Suite 200
Winchester, VA 22601-2631

Mailing address

2913 Valley Ave
Suite 200
Winchester, VA 22601-2631
Phone (540) 678-0792

National Provider Directory

National Provider Directory

Locations

2913 Valley Ave
Ste 200
Winchester, VA 22601
Phone (540) 678-0792

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043216708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 VALLEY AVE",
            "address_2": "SUITE 200",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012631",
            "telephone_number": "540-678-0792",
            "fax_number": "540-678-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 VALLEY AVE",
            "address_2": "SUITE 200",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012631",
            "telephone_number": "540-678-0792",
            "fax_number": "540-678-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE BLOSSOM FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "PANTHEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-678-0792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101057879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.