Individual provider Active NPI

Ashirifia Larsey

  • Primary Care Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1477107985
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0024177100 Issued in VA
Practice address
1712 E Broad St
Richmond, VA 23223-6930
Phone
(804) 873-6815
NPI assigned
Aug 1, 2019
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 0024177100 VA Primary

Addresses

Primary practice location

1712 E Broad St
Richmond, VA 23223-6930

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (804) 344-9848

Other practice location 1

220 Sugnet Way
Sacramento, CA 95838-5015
Phone (240) 413-2008

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
I20210811002307 VA Practitioner - Nurse Practitioner 4981008042 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians

Practice addresses (Care Compare)

11 Dairy LN
Fredericksburg, VA 22405-2663
Phone (212) 734-6621

1390 N Poplar Fork Rd
Hurricane, WV 25526-7112
Phone (212) 734-6621

1507 S Tuttle Ave
Sarasota, FL 34239-2608
Phone (212) 734-6621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Suffolk United, Inc CurrentSince Jan 17, 2026 Accepting new patients
PMR Virginia Holding, LLC CurrentSince Sep 1, 2021 Accepting new patients
Jencare Neighborhood Medical East Richmond, LLC PastSince Sep 4, 2012 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

301 Goode Way
Ste 102
Portsmouth, VA 23704
Phone (757) 399-2639

1712 E Broad St
Richmond, VA 23223
Phone (804) 344-9848

3806 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 228-1143

Organizations & group practices 5

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": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1477107985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "804-344-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 E BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232236930",
            "telephone_number": "804-873-6815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Sugnet Way",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958385015",
            "country_code": "US",
            "telephone_number": "240-413-2008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSEY",
        "first_name": "ASHIRIFIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024177100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.