Individual provider Active NPI

Laura Root

  • Family Nurse Practitioner
  • Dayton, VA
National Provider Identifier
1255856209
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
000000 Issued in VA
Practice address
15 Killdeer LN
Dayton, VA 22821-9745
Phone
(540) 879-4300
NPI assigned
Aug 11, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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 000000 VA Primary

Addresses

Primary practice location

15 Killdeer LN
Dayton, VA 22821-9745

Mailing address

15 Killdeer LN
Dayton, VA 22821-9745

Other identifiers 1

IdentifierTypeStateIssuer
0024175237MedicaidVA

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
I20171025003582 VA Practitioner - Nurse Practitioner 4486920030 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Virginia School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Urgent Care LLCGroup PAC ID 6709256142, 125 clinicians
Saunders and Peavy LLCGroup PAC ID 1153710017, 9 clinicians

Practice addresses (Care Compare)

1209 Richmond Ave
Suite 109
Staunton, VA 24401-5069
Phone (540) 885-0629

182 Neff Ave
Suite W12
Harrisonburg, VA 22801-3488

343 Neff Ave
Suite C
Harrisonburg, VA 22801-3683
Phone (540) 432-9996

9851 Brook Rd
Glen Allen, VA 23059-4559
Phone (804) 893-8702

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000000VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Virginia CurrentSince Jul 6, 2019 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Jul 6, 2019 Accepting new patients
Saunders & Peavy LLC CurrentSince Aug 18, 2025 Accepting new patients
Bon Secours Urgent Care LLC CurrentSince Mar 9, 2025 Accepting new patients
Emergicare of Harrisonburg, Inc. Past Accepting new patients

Locations

9851 Brook Rd
Glen Allen, VA 23059
Phone (804) 893-8702

182 Neff Ave
Ste W12
Harrisonburg, VA 22801
Phone (540) 432-9996

343 Neff Ave
Ste C
Harrisonburg, VA 22801
Phone (540) 432-9996

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

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": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1255856209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 KILLDEER LN",
            "city": "DAYTON",
            "state": "VA",
            "postal_code": "228219745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 KILLDEER LN",
            "city": "DAYTON",
            "state": "VA",
            "postal_code": "228219745",
            "telephone_number": "540-879-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOT",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0024175237",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, VA

Sources for this page

Verify at the official NPI Registry.