Individual provider Active NPI

William Andrew Wax

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1487814067
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024164804 Issued in VA
Practice address
110 N Robinson St
Suite 305
Richmond, VA 23220-4459
Phone
(804) 780-2610
NPI assigned
Jun 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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 0024164804 VA Primary

Addresses

Primary practice location

110 N Robinson St
Suite 305
Richmond, VA 23220-4459

Mailing address

208 S Belmont Ave
Richmond, VA 23221-3512
Phone (804) 402-6514

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
I20090312000448 VA Practitioner - Nurse Practitioner 9537225750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

208 S Belmont Ave
Richmond, VA 23221-3512
Phone (804) 402-6514

Hospital & facility affiliations

  • Nayar Health Care LLC Home health agency, Ashland, VA, CCN 497743

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
683AKMDProfessional Counselor
0024164804VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
In Home Solutions LLC Family CurrentSince Nov 19, 2009 Accepting new patients
Alaska Medical Clinics, LLC Past Accepting new patients
First Care Medical Centers LLC Past Accepting new patients

Locations

110 N Robinson St
Ste 305
Richmond, VA 23220
Phone (804) 773-1571

2105 E Parham Rd
Ste 109
Richmond, VA 23228
Phone (804) 303-7691

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15729/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1487814067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 S BELMONT AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232213512",
            "telephone_number": "804-402-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N ROBINSON ST",
            "address_2": "SUITE 305",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204459",
            "telephone_number": "804-780-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAX",
        "first_name": "WILLIAM",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024164804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.