Organization Active NPI

Medical Associates of Richmond LLC

  • Acute Care Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1407700750
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
Legal business name
MEDICAL ASSOCIATES OF RICHMOND LLC
Practice address
7025 Old Jahnke Rd
Richmond, VA 23225-4126
Phone
(804) 937-1598
Fax
(804) 368-1122
NPI assigned
Feb 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Sidra ButtNPI 1891840930
Title
Owner
Phone
(804) 937-1598

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X Primary

Addresses

Primary practice location

7025 Old Jahnke Rd
Richmond, VA 23225-4126

Mailing address

14631 Charter Walk CT
Midlothian, VA 23114-4694
Phone (804) 937-1598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260415000924 VA Part B Supplier - Clinic/Group Practice 8325514623 Receives reassigned benefits from 3 practitioners
Practice locations: Richmond, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1407700750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14631 CHARTER WALK CT",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144694",
            "telephone_number": "804-937-1598",
            "fax_number": "804-368-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 OLD JAHNKE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254126",
            "telephone_number": "804-937-1598",
            "fax_number": "804-368-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF RICHMOND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "BUTT",
        "authorized_official_first_name": "SIDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-937-1598"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.