Individual provider Active NPI

Tia Elaine Sexton

  • Family Nurse Practitioner
  • Bastian, VA
National Provider Identifier
1376990937
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024173546 Issued in VA
Practice address
12301 Grapefield Rd
Bastian, VA 24314-4547
Phone
(276) 688-4331
Fax
(276) 688-4336
NPI assigned
May 24, 2016
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001189937 VA
Family Nurse Practitioner 363LF0000X 0024173546 VA Primary

Addresses

Primary practice location

12301 Grapefield Rd
Bastian, VA 24314-4547

Mailing address

12301 Grapefield Rd
Bastian, VA 24314-4547
Phone (276) 688-4331

Other practice location 1

8494 S Scenic Hwy
Bland, VA 24315-5255
Phone (276) 688-0500

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
I20161010000926 VA Practitioner - Nurse Practitioner 6608164512 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bland County Medical Clinic IncGroup PAC ID 2264326453, 20 clinicians

Practice addresses (Care Compare)

12301 Grapefield Rd
Bastian, VA 24314-4547
Phone 2766884331316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001189937VAMDRegistered Nurse
0024173546VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage Services, PC CurrentSince Jul 25, 2016 Accepting new patients
Bland County Medical Clinic, Inc. CurrentSince Oct 18, 2021 Accepting new patients
Bland County Medical Clinic, Inc. CurrentSince Oct 18, 2021 Accepting new patients
Emergency Physicians of Southern Virginia LLP CurrentSince May 1, 2017 Accepting new patients

Locations

12301 Grapefield Rd
Bastian, VA 24314
Phone (276) 688-2626

8494 S Scenic Hwy
Bland, VA 24315
Phone (276) 688-0500

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

Interoperability endpoints

  • Direct secure messaging: tia.sexton@bcmc.eclinicaldirectplus.com

Organizations & group practices 4

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": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1376990937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 GRAPEFIELD RD",
            "city": "BASTIAN",
            "state": "VA",
            "postal_code": "243144547",
            "telephone_number": "276-688-4331",
            "fax_number": "276-688-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 GRAPEFIELD RD",
            "city": "BASTIAN",
            "state": "VA",
            "postal_code": "243144547",
            "telephone_number": "276-688-4331",
            "fax_number": "276-688-4336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8494 S Scenic Hwy",
            "address_purpose": "LOCATION",
            "city": "Bland",
            "state": "VA",
            "postal_code": "243155255",
            "country_code": "US",
            "telephone_number": "276-688-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEXTON",
        "first_name": "TIA",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001189937",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastian, VA

Sources for this page

Verify at the official NPI Registry.