Active NPI
Medic 1
- Medical Physician Assistant
- Fredericksburg, VA
National Provider Identifier
1417981648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110001678
- Legal business name
- MEDIC 1
- Practice address
- 3429 Jefferson Davis Hwy
Fredericksburg, VA 22408 - Phone
- (540) 371-1664
- Fax
- (540) 371-2411
- NPI assigned
- Jul 11, 2006
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Aimee Vanessa Hegadorn
- Title
- Practice Manager
- Phone
- (540) 371-1664
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110001678 | VA | Primary |
Addresses
Primary practice location
3429 Jefferson Davis Hwy
Fredericksburg, VA 22408
Mailing address
3429 Jefferson Davis Hwy
Fredericksburg, VA 22408
Phone (540) 371-1664
National Provider Directory
National Provider Directory- Tax ID family
- Medic 1
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1164456398
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Virginia Beach, VA
- NPI 1568441277
-
- Family Nurse Practitioner
- Springfield, VA
- NPI 1891705851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1417981648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3429 JEFFERSON DAVIS HWY",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "22408",
"telephone_number": "540-371-1664",
"fax_number": "540-371-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3429 JEFFERSON DAVIS HWY",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "22408",
"telephone_number": "540-371-1664",
"fax_number": "540-371-2411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDIC 1",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "HEGADORN",
"authorized_official_first_name": "AIMEE",
"authorized_official_middle_name": "VANESSA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "540-371-1664",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110001678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
- Med-Air Inc (Med-Air Homecare)
- Medhin Med LLC
- Medi Home Health Agency, Inc. (Medi Home Health Agency)
- Medi Home Health Agency, Inc. (Medi Home Health & Hospice)
- Medic 1
- Medic 1 Clinics, Inc.
- Medic Fleet, LLC
- Medical Imaging of Fredericksburg, LLC (Imaging Center for Women at North Stafford)
- Medical Imaging of Fredericksburg, LLC (Imaging Center for Women)
- Medical Imaging of Fredericksburg, LLC (Medical Imaging at Lee's Hill)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.