Active NPI
Genevieve Rochefort, PA-C
- Medical Physician Assistant
- Carrollton, VA
National Provider Identifier
1336514736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110005092
- Practice address
- 148 Liberty Way
Carrollton, VA 23314-2697 - Phone
- (910) 580-1426
- NPI assigned
- Dec 10, 2015
- Last updated
- Dec 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110005092 | VA | Primary |
Addresses
Primary practice location
148 Liberty Way
Carrollton, VA 23314-2697
Mailing address
148 Liberty Way
Carrollton, VA 23314-2697
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110005092 | VA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449705600000",
"number": "1336514736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 LIBERTY WAY",
"city": "CARROLLTON",
"state": "VA",
"postal_code": "233142697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 LIBERTY WAY",
"city": "CARROLLTON",
"state": "VA",
"postal_code": "233142697",
"telephone_number": "910-580-1426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHEFORT",
"first_name": "GENEVIEVE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-10",
"last_updated": "2015-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110005092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, VA
- Amy S Rankin, RDH
- Renee's Medical Consulting
- Rise Physical Therapy & Wellness, PLLC
- Rite Aid of Virginia Inc (Rite Aid Pharmacy 06762)
- Riverside Physician Services Inc (Eagle Harbor Primary Care)
- Maryam Rostami, M.D.
- Dallas A Sante
- Sentara Medical Group (Sentara Family Medicine Physicians)
- Sentara Medical Group (Sentara Cardiology Specialists)
- Sentara Medical Group (Sentara Urgent Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.