Individual provider Active NPI

Rene Gennette Sanders, NP

  • Primary Care Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1497263362
Registry record updated Jan 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0024175704 Issued in VA
Practice address
15 S Gateway Dr Ste 101
Fredericksburg, VA 22406-1231
Phone
(540) 368-5603
NPI assigned
Jan 13, 2018
Last updated
Jan 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2018

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 0024175704 VA Primary

Addresses

Primary practice location

15 S Gateway Dr Ste 101
Fredericksburg, VA 22406-1231

Mailing address

9821 Fendale LN
Fredericksburg, VA 22408-9529
Phone (321) 987-5205

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
I20180314000504 VA Practitioner - Nurse Practitioner 7416219290 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Virginia Carenow Urgent Care LLCGroup PAC ID 4284902057, 55 clinicians

Practice addresses (Care Compare)

10004 Southpoint Pkwy
Fredericksburg, VA 22407-2705
Phone (540) 252-3535

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Urgent Care LLC CurrentSince Jan 9, 2018 Accepting new patients
Northern Virginia Carenow Urgent Care, LLC CurrentSince Aug 14, 2023 Accepting new patients
Emergency Physicians Immediate Care Center 2 LLC CurrentSince Aug 14, 2023 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

10004 Southpoint Pkwy
Fredericksburg, VA 22407
Phone (540) 252-3535

15 S Gateway Dr
Ste 101
Fredericksburg, VA 22406
Phone (540) 368-5603

46200 Potomac Run Plz
Sterling, VA 20164
Phone (571) 313-5087

12581 Milstead Way
Ste 103
Woodbridge, VA 22192
Phone (703) 897-5890

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, 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": "1515801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515801600000",
    "number": "1497263362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9821 FENDALE LN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224089529",
            "telephone_number": "321-987-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S GATEWAY DR STE 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224061231",
            "telephone_number": "540-368-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "RENE",
        "middle_name": "GENNETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-13",
        "last_updated": "2018-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024175704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.