Individual provider Active NPI

Sheri A Tratnack, NP

  • Nurse Practitioner
  • Grottoes, VA
National Provider Identifier
1164401295
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024-072529 Issued in VA
Practice address
100 7TH St
Grottoes, VA 24441-1708
Phone
(540) 249-5901
Fax
(540) 249-5902
NPI assigned
Jan 17, 2006
Last updated
Nov 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024-072529 VA Primary
Registered Nurse 163W00000X 0001072529 VA

Addresses

Primary practice location

100 7TH St
Grottoes, VA 24441-1708

Mailing address

100 7TH St
PO Box 489
Grottoes, VA 24441-1708
Phone (540) 249-5901

Other identifiers 1

IdentifierTypeStateIssuer
010343984MedicaidVA

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
I20070129000739 VA Practitioner - Nurse Practitioner 9931100286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001072529VAMDRegistered Nurse
0024-072529VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Healthcare Corporation Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1164401295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 7TH ST",
            "address_2": "PO BOX 489",
            "city": "GROTTOES",
            "state": "VA",
            "postal_code": "244411708",
            "telephone_number": "540-249-5901",
            "fax_number": "540-249-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 7TH ST",
            "city": "GROTTOES",
            "state": "VA",
            "postal_code": "244411708",
            "telephone_number": "540-249-5901",
            "fax_number": "540-249-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRATNACK",
        "first_name": "SHERI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024-072529",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001072529",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010343984",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grottoes, VA

Sources for this page

Verify at the official NPI Registry.