One Heart Medical PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ONE HEART MEDICAL PLLC

Practice address

1066 Hisey Ave Ste 104
Woodstock, VA 22664-2088

Phone

(540) 481-4393

NPI assigned

Nov 26, 2021

Organization subpart

No

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

Authorized official

Name

Kelsey Cooper, FNPNPI 1992155857

Title

Owner/Provider

Phone

(540) 534-9955

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25387/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Kelsey Cooper, FNP

  • Family Nurse Practitioner
  • Woodstock, VA
  • NPI 1992155857
  Medicare reassignment NPD Authorized official
• Jennifer Lynn Davison, NP

  • Family Nurse Practitioner
  • Harrisonburg, VA
  • NPI 1386232973
  Medicare reassignment NPD
• Alicia Marie Smootz, FNP

  • Family Nurse Practitioner
  • Woodstock, VA
  • NPI 1073235081
  Medicare reassignment NPD

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

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1083371967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 HISEY AVE STE 104",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226642088",
            "telephone_number": "540-453-8335",
            "fax_number": "833-719-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 HISEY AVE STE 104",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226642088",
            "telephone_number": "540-481-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE HEART MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-26",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "540-534-9955",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992155857",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Carol Moose, DO
• Tara D Nelson, CSAC
• Anthony Robert Neri, MD
• Rodolfo Nicdao, PT
• Jonathan F O'Neal, M.D
• Stephen F Palmerton, CRNA
• George L Phillips, MD
• Susan Phillips, PT
• Ria Philpott, PA-C
• Jordan Mackenzee Phipps, BS

• Family Nurse Practitioner in Woodstock, VA
• Providers in Woodstock, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.