Individual provider Active NPI

Freda Y Powers, FNP

  • Family Nurse Practitioner
  • Grundy, VA
National Provider Identifier
1295067957
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024168628 Issued in VA
Practice address
1532 Slate Creek Rd
Ste 106
Grundy, VA 24614-6975
Phone
(276) 935-1760
Fax
(276) 935-1762
NPI assigned
Feb 5, 2010
Last updated
Apr 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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 0024168628 VA Primary

Addresses

Primary practice location

1532 Slate Creek Rd
Ste 106
Grundy, VA 24614-6975

Mailing address

P.O. Box 669
1532 Slate Slate Rd
Grundy, VA 24614
Phone (276) 935-1760

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
I20100526000049 VA Practitioner - Nurse Practitioner 8426187766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buchanan General Hospital Inc.Group PAC ID 4688581663, 10 clinicians

Practice addresses (Care Compare)

1535 Slate Creek Rd
Grundy, VA 24614-6974
Phone (276) 935-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024168628VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Buchanan General Hospital CurrentSince Sep 1, 2021 Accepting new patients
Buchanan General Hospital Current Accepting new patients
Buchanan Health Care LLC CurrentSince Feb 23, 2010 Accepting new patients
Buchanan General Hospital Inc CurrentSince Sep 1, 2021 Accepting new patients
Commonwealth Internal Medicine and Pediatrics PastSince Aug 7, 2012 Accepting new patients
Buchanan General Hospital Inc Past Accepting new patients

Locations

1532 Slate Creek Rd
#204
Grundy, VA 24614
Phone (276) 935-1167

1532 Slate Creek Rd
Ste 105
Grundy, VA 24614
Phone (276) 935-1760

1532 Slate Creek Rd
Ste 106
Grundy, VA 24614
Phone (276) 935-1167

1535 Slate Creek Rd
Grundy, VA 24614
Phone (276) 935-1125

Interoperability endpoints

  • Direct secure messaging: buchananhealthcarellc.fredapowers@123383.advancedmd-direct.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/buchgen-7056bd27

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.

Hospital & facility affiliations 5

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": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1295067957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 669",
            "address_2": "1532 SLATE SLATE RD",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "24614",
            "telephone_number": "276-935-1760",
            "fax_number": "276-935-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 SLATE CREEK RD",
            "address_2": "STE 106",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246146975",
            "telephone_number": "276-935-1760",
            "fax_number": "276-935-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "FREDA",
        "middle_name": "Y",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grundy, VA

Sources for this page

Verify at the official NPI Registry.