Individual provider Active NPI

Audrey Maria Anderson, MSN, APRN, FNP

  • Family Nurse Practitioner
  • Chilhowie, VA
National Provider Identifier
1477247112
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024186914 Issued in VA
Practice address
403 Chilhowie St
Chilhowie, VA 24319-3461
Phone
(276) 646-3241
NPI assigned
Jun 6, 2023
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024186914 VA Primary

Addresses

Primary practice location

403 Chilhowie St
Chilhowie, VA 24319-3461

Mailing address

1017 Russell St
Bristol, VA 24201-4450
Phone (276) 791-9170

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
I20230803003485 VA Practitioner - Nurse Practitioner 8325409592 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
0024186914VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care of Chilhowie, P.C. CurrentSince Jun 19, 2023 Accepting new patients

Locations

403 Chilhowie St
Chilhowie, VA 24319
Phone (276) 646-3241

Organizations & group practices 1

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": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1477247112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 RUSSELL ST",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242014450",
            "telephone_number": "276-791-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 CHILHOWIE ST",
            "city": "CHILHOWIE",
            "state": "VA",
            "postal_code": "243193461",
            "telephone_number": "276-646-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "AUDREY",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024186914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chilhowie, VA

Sources for this page

Verify at the official NPI Registry.