Active NPI
Linda Michelle Rakes, FNP
- Family Medicine Physician
- Martinsville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0024178168
- Practice address
- 312 Fairy Street Ext Ste 101
Martinsville, VA 24112-1912 - Phone
- (276) 403-4278
- NPI assigned
- Jun 27, 2019
- Last updated
- May 14, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5011934 | NC | |
| Family Medicine Physician | 207Q00000X | 0024178168 | VA | Primary |
Addresses
Primary practice location
312 Fairy Street Ext Ste 101
Martinsville, VA 24112-1912
Mailing address
12 Beechwood Dr
Bassett, VA 24055-4143
Phone (276) 252-6463
Other practice location 1
401 W Decatur St
Madison, NC 27025-1913
Phone (336) 548-9618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- George Washington University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 W Decatur St
Madison, NC 27025-1913
Phone (336) 548-9618
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5011934 | NC | MD | Family Medicine Physician |
| 0024178168 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stateline Heart and Vascular Health, Inc | Current | Accepting new patients | |
| Moses Cone Medical Services, Inc. | Family Medicine | Current | Accepting new patients |
Locations
300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205
401 W Decatur St
Madison, NC 27025
Phone (336) 548-9618
940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848
312 Fairy Street Ext
Ste 101
Martinsville, VA 24112
Phone (276) 632-2966
435 Commonwealth Blvd E
Martinsville, VA 24112
Phone (276) 403-4278
Interoperability endpoints
- https://api.platform.athenahealth.com/16877/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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
- Greensboro, NC
- NPI 1427095249
Family Medicine
-
- Cardiovascular Disease Physician
- Martinsville, VA
- NPI 1306361803
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1275194441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 BEECHWOOD DR",
"city": "BASSETT",
"state": "VA",
"postal_code": "240554143",
"telephone_number": "276-252-6463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 FAIRY STREET EXT STE 101",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241121912",
"telephone_number": "276-403-4278"
}
],
"practiceLocations": [
{
"address_1": "401 W Decatur St",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "NC",
"postal_code": "270251913",
"country_code": "US",
"telephone_number": "336-548-9618",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAKES",
"first_name": "LINDA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-27",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "5011934",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0024178168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinsville, VA
- Catherine Hancock Privette
- Professional Therapies of Roanoke, Inc. (CORA Physical Therapy - Martinsville)
- Providence Transportation Service, LLC.
- Shannon Joyce Quigg, LPTA
- R & E Transportation, LLC
- Casey Quinn Ramirez Cortes, OD
- Sukhdeep Singh Randhawa
- James Michael Rasel
- Ray Boyz Ridez LLC
- Joseph Ray
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.