Organization Active NPI

Choicehealth Member Medical LLC

  • Family Nurse Practitioner
  • Staunton, VA
National Provider Identifier
1043921430
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CHOICEHEALTH MEMBER MEDICAL LLC
Practice address
2225 N Augusta St Ste B
Staunton, VA 24401-2520
Phone
(540) 383-4560
NPI assigned
Dec 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Erin Yodar
Title
Owner
Phone
(540) 383-4560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2225 N Augusta St Ste B
Staunton, VA 24401-2520

Mailing address

PO Box 229
Verona, VA 24482-0229
Phone (540) 383-4560

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 1730407552 Other

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2273739Choicehealth Member Medical LLC2225 N Augusta St, Suite B, Staunton, VA 24401Certificate of waiverDec 18, 2026

National Provider Directory

National Provider Directory

Locations

2225 N Augusta St
Ste B
Staunton, VA 24401
Phone (403) 249-0485

600 Lee Hwy
Verona, VA 24482
Phone (540) 290-3144

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1043921430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "VERONA",
            "state": "VA",
            "postal_code": "244820229",
            "telephone_number": "540-383-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 N AUGUSTA ST STE B",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244012520",
            "telephone_number": "540-383-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICEHEALTH MEMBER MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "YODAR",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-383-4560"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "1730407552",
            "affiliation": "N",
            "endpointDescription": "NPI-1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Athenahealth",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2225 N Augusta St Ste B",
            "city": "Staunton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "244012520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.