Individual provider Active NPI

Patricia Lynn Maggard, CFNP

  • Family Nurse Practitioner
  • Richlands, VA
National Provider Identifier
1104817543
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024165134 Issued in VA
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

Updated by the provider on Mar 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7782071MedicaidVA
P00159734OtherRAILROAD MEDICARE
7103151-000MedicaidWV

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Clinch Valley Physicians Associates LLC CurrentSince Jul 2, 2013 Accepting new patients
Clinch Valley Physicians Associates LLC CurrentSince Jul 2, 2013 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.