Individual provider Active NPI

Jennifer Sholtis, NP

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1285191007
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024176973 Issued in VA
Practice address
10009 Southpoint Pkwy
Fredericksburg, VA 22407-2709
Phone
(540) 898-6600
Fax
(540) 898-9400
NPI assigned
Feb 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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 0024176973 VA Primary

Addresses

Primary practice location

10009 Southpoint Pkwy
Fredericksburg, VA 22407-2709

Mailing address

PO Box 3910
Fredericksburg, VA 22402-3910
Phone (540) 785-9900

Other practice location 1

231 Garrisonville Rd Ste 101
Stafford, VA 22554-1604
Phone (540) 288-9888

Other practice location 2

2306 Plank Rd Ste 100
Fredericksburg, VA 22401-4902
Phone (540) 785-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024176973VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary and Urgent Care LLC PastSince Mar 1, 2019 Accepting new patients
Primary and Urgent Care LLC PastSince Mar 1, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18689/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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1285191007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3910",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224023910",
            "telephone_number": "540-785-9900",
            "fax_number": "540-785-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10009 SOUTHPOINT PKWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224072709",
            "telephone_number": "540-898-6600",
            "fax_number": "540-898-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 Garrisonville Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225541604",
            "country_code": "US",
            "telephone_number": "540-288-9888",
            "fax_number": "540-288-0054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2306 Plank Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224014902",
            "country_code": "US",
            "telephone_number": "540-785-9900",
            "fax_number": "540-785-9960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOLTIS",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.