Active NPI
Choicehealth Member Medical LLC
- Family Nurse Practitioner
- Staunton, VA
National Provider Identifier
1043921430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 1730407552 | Other |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2273739 | Choicehealth Member Medical LLC | Certificate of waiver | Dec 18, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Staunton, VA
- NPI 1730407552
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.