Active NPI
Verlecia Self
- Family Nurse Practitioner
- Chester, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2016007862
- Practice address
- 221 E Hundred Rd
Chester, VA 23836-2613 - Phone
- (866) 389-2727
- NPI assigned
- Aug 15, 2016
- Last updated
- Aug 15, 2016
- 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 | 2016007862 | VA | Primary |
Addresses
Primary practice location
221 E Hundred Rd
Chester, VA 23836-2613
Mailing address
11344 Chester Garden Cir
Chester, VA 23831-1795
Phone (225) 747-0090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016007862 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of Virginia LLC | Family | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Fredericksburg, LLC | Current | Accepting new patients | |
| Lake Spring Physician Services, LLC | Current | Accepting new patients | |
| Apogee Medical Group Virginia, PC | Current | Accepting new patients | |
| Kingsford Physician Services, LLC | Current | Accepting new patients |
Locations
1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687
221 E Hundred Rd
Chester, VA 23836
Phone (804) 530-1172
19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918
320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200
8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000
13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300
2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100
1500 N 28th St
Richmond, VA 23223
Phone (804) 225-1700
1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1447577572
-
- Hospitalist Physician
- Pulaski, VA
- NPI 1871088526
-
- Hospitalist Physician
- Salem, VA
- NPI 1568954287
-
dba New Era Healthcare
- Multi-Specialty Clinic/Center
- Richmond, VA
- NPI 1326695339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471219200000",
"number": "1255885638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11344 CHESTER GARDEN CIR",
"city": "CHESTER",
"state": "VA",
"postal_code": "238311795",
"telephone_number": "225-747-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 E HUNDRED RD",
"city": "CHESTER",
"state": "VA",
"postal_code": "238362613",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELF",
"first_name": "VERLECIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-15",
"last_updated": "2016-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "2016007862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.