Individual provider Active NPI

Richard T Nanna, M.D

  • Emergency Medicine Physician
  • Front Royal, VA
National Provider Identifier
1104883115
Registry record updated Mar 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101042798 Issued in VA
Practice address
1000 N Shenandoah Ave
Front Royal, VA 22630-3547
Phone
(540) 636-0300
Fax
(540) 636-0198
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101042798 VA Primary

Addresses

Primary practice location

1000 N Shenandoah Ave
Front Royal, VA 22630-3547

Mailing address

1000 N Shenandoah Ave
Front Royal, VA 22630-3547
Phone (540) 636-0300

Other identifiers 2

IdentifierTypeStateIssuer
930089866OtherVAMEDICARE RAILROAD
005836891MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rnanna123990@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Memorial Hospital, Inc. Past Accepting new patients
Sentara RMH Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rnanna123990@valleyhealth.direct-ci.com

Organizations & group practices 2

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614988800000",
    "number": "1104883115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N SHENANDOAH AVE",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303547",
            "telephone_number": "540-636-0300",
            "fax_number": "540-636-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N SHENANDOAH AVE",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303547",
            "telephone_number": "540-636-0300",
            "fax_number": "540-636-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANNA",
        "first_name": "RICHARD",
        "middle_name": "T",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101042798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "930089866",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005836891",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rnanna123990@soc.inova.org",
            "affiliation": "N",
            "address_1": "1000 N Shenandoah Ave",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226303547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.