Individual provider Active NPI

Vanessa J Green, WHCNP

  • Women's Health Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1457419467
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
209019008 Issued in IL
Practice address
10432 Patriot Hwy Dept of
Fredericksburg, VA 22408-2628
Phone
(540) 707-7074
NPI assigned
Dec 4, 2006
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 209019008 IL Primary

Addresses

Primary practice location

10432 Patriot Hwy Dept of
Fredericksburg, VA 22408-2628

Mailing address

5505 Spring Bluff CT
Fredericksburg, VA 22407-9250
Phone (404) 936-4936

Other names 1

  • Vanessa Johnson Rainey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209019008ILMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Vamc CurrentSince Apr 20, 2025 Accepting new patients
The Southeast Permanente Medical Group Obstetrics & Gynecology Past Accepting new patients

Locations

10432 Patriot Hwy
Fredericksburg, VA 22408
Phone (540) 707-7074

Organizations & group practices 2

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1457419467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 SPRING BLUFF CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079250",
            "telephone_number": "404-936-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10432 PATRIOT HWY DEPT OF",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082628",
            "telephone_number": "540-707-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "VANESSA",
        "middle_name": "J",
        "credential": "WHCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209019008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "RAINEY",
            "middle_name": "JOHNSON",
            "credential": "WHCNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.