Active NPI
Abena Talibah Ivey, FNP
- Family Nurse Practitioner
- Richmond, VA
National Provider Identifier
1154549566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024116568
- Practice address
- 2600 E Parham Rd
Richmond, VA 23228-2932 - Phone
- (804) 262-2333
- Fax
- (804) 262-0848
- NPI assigned
- Apr 23, 2007
- 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 | 0024116568 | VA | Primary |
Addresses
Primary practice location
2600 E Parham Rd
Richmond, VA 23228-2932
Mailing address
2600 E Parham Rd
Richmond, VA 23228-2932
Phone (804) 262-2333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C07050 | Other | VA | GROUP PTAN |
| C06778 | Other | VA | GROUP PTAN |
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 |
|---|---|---|---|---|
| I20050127000757 | VA | Practitioner - Nurse Practitioner | 8820048754 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours-St. Mary'S Hospital of Richmond, Inc. | Past | Accepting new patients | |
| Bon Secours St Mary'S Hospital of Richmond LLC | Past | Accepting new patients | |
| Bon Secours-Virginia Healthsource | Past | Accepting new patients | |
| Bon Secours-St. Mary'S Hospital of Richmond, Inc. | Past | Accepting new patients | |
| Bon Secours-St. Mary'S Hospital of Richmond, Inc. | Past | Accepting new patients | |
| Harness Health Pharmacy - Central Pharmacy Services LLC | Past | Accepting new patients | |
| Bon Secours St Mary'S Hospital of Richmond LLC | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1144507484
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1417255365
-
- Infectious Disease Physician
- Richmond, VA
- NPI 1063772143
-
- Family Medicine Physician
- Richmond, VA
- NPI 1942598693
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1992078422
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1831122233
-
- Community/Retail Pharmacy
- Richmond, VA
- NPI 1619222767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1154549566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 E PARHAM RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232282932",
"telephone_number": "804-262-2333",
"fax_number": "804-262-0848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 E PARHAM RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232282932",
"telephone_number": "804-262-2333",
"fax_number": "804-262-0848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVEY",
"first_name": "ABENA",
"middle_name": "TALIBAH",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024116568",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "C07050",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "C06778",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.