Individual provider Active NPI

Galia Patricia Feliciano, NP

  • Family Nurse Practitioner
  • Fredericksbrg, VA
National Provider Identifier
1174159552
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024179015 Issued in VA
Practice address
8109 Davmar LN
Fredericksbrg, VA 22407-2151
Phone
(540) 785-2678
NPI assigned
Mar 18, 2020
Last updated
Mar 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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 0024179015 VA Primary

Addresses

Primary practice location

8109 Davmar LN
Fredericksbrg, VA 22407-2151

Mailing address

8109 Davmar LN
Fredericksbrg, VA 22407-2151
Phone (540) 785-2678

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
I20201001001359 VA Practitioner - Nurse Practitioner 9133548761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1965 Emancipation Hwy
Fredericksburg, VA 22401-6213
Phone (540) 735-0560

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024179015VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Health Services Inc Current Accepting new patients
Central Virginia Health Services Inc CurrentSince Jan 17, 2022 Accepting new patients
Central Virginia Health Services Inc CurrentSince Jan 17, 2022 Accepting new patients
Central Virginia Health Services Inc Past Accepting new patients

Locations

1965 Emancipation Hwy
Fredericksburg, VA 22401
Phone 5407350560 ext. 26112

1965 Emancipation Hwy
Ste 100
Fredericksburg, VA 22401
Phone (540) 735-0560

25892 N James Madison Hwy
New Canton, VA 23123
Phone (434) 581-3271

Organizations & group practices 5

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": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1174159552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8109 DAVMAR LN",
            "city": "FREDERICKSBRG",
            "state": "VA",
            "postal_code": "224072151",
            "telephone_number": "540-785-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8109 DAVMAR LN",
            "city": "FREDERICKSBRG",
            "state": "VA",
            "postal_code": "224072151",
            "telephone_number": "540-785-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "GALIA",
        "middle_name": "PATRICIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksbrg, VA

Sources for this page

Verify at the official NPI Registry.