Individual provider Active NPI

Briony Jaine Peachey, NP

  • Nurse Practitioner
  • Gainesville, VA
National Provider Identifier
1376566554
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0001161128 Issued in VA
Practice address
7500 Iron Bar LN
Suite 120
Gainesville, VA 20155
Phone
(703) 753-6772
Fax
(888) 972-4515
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0001161128 VA Primary

Addresses

Primary practice location

7500 Iron Bar LN
Suite 120
Gainesville, VA 20155

Mailing address

7500 Iron Bar LN
Suite 120
Gainesville, VA 20155-3603
Phone (703) 753-6772

Other identifiers 1

IdentifierTypeStateIssuer
010201667MedicaidVA

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
0001161128VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Milestones Pediatric and Adolescent Care, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: briony@mpac.pcc-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1376566554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 IRON BAR LN",
            "address_2": "SUITE 120",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553603",
            "telephone_number": "703-753-6772",
            "fax_number": "888-972-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 IRON BAR LN",
            "address_2": "SUITE 120",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "20155",
            "telephone_number": "703-753-6772",
            "fax_number": "888-972-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACHEY",
        "first_name": "BRIONY",
        "middle_name": "JAINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0001161128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010201667",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.