Individual provider Active NPI

Janakiben Patel

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1306367255
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024175923 Issued in VA
Practice address
2500 Charles St
Fredericksburg, VA 22401-3312
Phone
(251) 802-0714
NPI assigned
Jun 30, 2017
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704299915 MI
Family Nurse Practitioner 363LF0000X 0024175923 VA Primary

Addresses

Primary practice location

2500 Charles St
Fredericksburg, VA 22401-3312

Mailing address

8704 Aldeburgh Dr
Henrico, VA 23294-5104
Phone (251) 802-0714

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
I20190514001278 VA Practitioner - Nurse Practitioner 7113260282 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704299915MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fredericksburg Primary Care, P.C. CurrentSince Jan 1, 2019 Accepting new patients

Locations

2500 Charles St
Fredericksburg, VA 22401
Phone (540) 374-8140

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1306367255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8704 ALDEBURGH DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232945104",
            "telephone_number": "251-802-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CHARLES ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013312",
            "telephone_number": "251-802-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JANAKIBEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704299915",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.