Individual provider Active NPI

Dara Ratliff, FNP

  • Family Nurse Practitioner
  • Richlands, VA
National Provider Identifier
1265162010
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024183899 Issued in VA
Practice address
6719 Governor GC Peery Hwy
Richlands, VA 24641-2484
Phone
(276) 596-6695
NPI assigned
Jun 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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 0024183899 VA Primary

Addresses

Primary practice location

6719 Governor GC Peery Hwy
Richlands, VA 24641-2484

Mailing address

6719 Governor GC Peery Hwy
Richlands, VA 24641-2484
Phone (276) 596-6695

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
I20220912003901 VA Practitioner - Nurse Practitioner 6103201157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinch Professional Physician Services LLCGroup PAC ID 9436259223, 45 clinicians

Practice addresses (Care Compare)

6719 Governor GC Peery Hwy
Suite 1000
Richlands, VA 24641-0280
Phone (276) 596-6715

Hospital & facility affiliations

  • Clinch Valley Medical Center Hospital, Richlands, VA, CCN 490060
  • Buchanan General Hospital Hospital, Grundy, VA, CCN 490127

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinch Professional Physician Services LLC CurrentSince Sep 15, 2022 Accepting new patients
Clinch Professional Physician Services LLC CurrentSince Sep 15, 2022 Accepting new patients
Clinch Valley Urology, LLC Past Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

6719 Governor Gc Peery Hwy
Ste 1000
Richlands, VA 24641
Phone (276) 596-6715

6719 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 596-6725

6719 Governor Gc Peery Hwy
Ste 2450
Richlands, VA 24641
Phone (276) 596-6786

Interoperability endpoints

  • Direct secure messaging: dara.ratliff.1@19847.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1265162010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6719 GOVERNOR GC PEERY HWY",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412484",
            "telephone_number": "276-596-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 GOVERNOR GC PEERY HWY",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412484",
            "telephone_number": "276-596-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "DARA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024183899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richlands, VA

Sources for this page

Verify at the official NPI Registry.