Active NPI
Patricia Lynn Maggard, CFNP
- Family Nurse Practitioner
- Richlands, VA
National Provider Identifier
1104817543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024165134
- Practice address
- One Clinic Drive
Claypool Hill
Richlands, VA 24641-1100 - Phone
- (276) 964-6771
- Fax
- (276) 964-1253
- NPI assigned
- Nov 3, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024165134 | VA | Primary |
Addresses
Primary practice location
One Clinic Drive
Claypool Hill
Richlands, VA 24641-1100
Mailing address
PO Box Cvpi
Richlands, VA 24641-1100
Phone (276) 964-6771
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7782071 | Medicaid | VA | |
| P00159734 | Other | RAILROAD MEDICARE | |
| 7103151-000 | Medicaid | WV |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100303000871 | VA | Practitioner - Nurse Practitioner | 6800931734 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinch Valley Physicians Associates LLC | Current | Accepting new patients | |
| Clinch Valley Physicians Associates LLC | Current | Accepting new patients | |
| Clinch Valley Physicians Inc | Past | Accepting new patients |
Locations
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
398 Clinic Rd
Cedar Bluff, VA 24609
Phone (276) 963-6600
Interoperability endpoints
- https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Richlands, VA
- NPI 1104265214
VA
-
- Rural Health Clinic/Center
- Cedar Bluff, VA
- NPI 1821339540
-
- Multi-Specialty Clinic/Center
- Richlands, VA
- NPI 1912980855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269993600000",
"number": "1104817543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX CVPI",
"city": "RICHLANDS",
"state": "VA",
"postal_code": "246411100",
"telephone_number": "276-964-6771",
"fax_number": "276-964-1253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE CLINIC DRIVE",
"address_2": "CLAYPOOL HILL",
"city": "RICHLANDS",
"state": "VA",
"postal_code": "246411100",
"telephone_number": "276-964-6771",
"fax_number": "276-964-1253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGGARD",
"first_name": "PATRICIA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-03",
"last_updated": "2010-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024165134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7782071",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00159734",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7103151-000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richlands, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.