Individual provider Active NPI

Jill Garrett, APRN, FNP-BC

  • Family Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1316345549
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN58794NP Issued in WV
Practice address
130 Church Ave SW
Roanoke, VA 24011-1906
Phone
(540) 769-3964
Fax
(888) 418-4274
NPI assigned
Dec 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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 APRN58794NP WV Primary
Primary Care Nurse Practitioner 363LP2300X 0024172039 VA

Addresses

Primary practice location

130 Church Ave SW
Roanoke, VA 24011-1906

Mailing address

3200 Maccorkle Ave SE
Charleston, WV 25304-1227

Other practice location 1

1217 Sandlick Rd
Bluefield, WV 24701-6600
Phone (304) 988-4503

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
I20220506001701 VA Practitioner - Nurse Practitioner 5193086908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Universal Health CorporationGroup PAC ID 5597912626, 120 clinicians

Practice addresses (Care Compare)

1945 Roanoke Blvd
Salem, VA 24153-6408
Phone (540) 345-3894

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN58794NPWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Health Corporation CurrentSince May 2, 2022 Accepting new patients
Pai Participant 1 LLC CurrentSince Apr 4, 2022 Accepting new patients

Locations

8830 Virginia St
Amelia Ct Hse, VA 23002
Phone (804) 561-5611

3610 S Main St
Blacksburg, VA 24060
Phone (540) 443-6111

3737 Catalpa Ave
Buena Vista, VA 24416
Phone (540) 261-7444

1000 Fairview Ave
Clifton Forge, VA 24422
Phone (540) 862-9555

5872 Hanks Ave
Dublin, VA 24084
Phone (540) 353-6520

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

130 Church Ave SW
Roanoke, VA 24011

514 N Main St
Rural Retreat, VA 24368
Phone (276) 613-4700

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

1150 Marsh St
Tappahannock, VA 22560
Phone (804) 434-4308

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.

Hospital & facility affiliations 4

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": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1316345549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CHURCH AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111906",
            "telephone_number": "540-769-3964",
            "fax_number": "888-418-4274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1217 Sandlick Rd",
            "address_purpose": "LOCATION",
            "city": "Bluefield",
            "state": "WV",
            "postal_code": "247016600",
            "country_code": "US",
            "telephone_number": "304-988-4503",
            "fax_number": "888-418-4274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "JILL",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-22",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN58794NP",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024172039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.