Active NPI
Briony Jaine Peachey, NP
- Nurse Practitioner
- Gainesville, VA
National Provider Identifier
1376566554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0001161128
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010201667 | Medicaid | VA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0001161128 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestones Pediatric and Adolescent Care, LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Pediatrics Physician
- Gainesville, VA
- NPI 1114352598
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.