Individual provider Active NPI

Jennifer M. Apperson, PH.D.

  • Clinical Psychologist
  • Farmville, VA
National Provider Identifier
1497805576
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1538 Issued in VA
Practice address
200 Milnwood Rd # B
Farmville, VA 23901-2817
Phone
(434) 315-8813
Fax
(434) 315-5913
NPI assigned
Jan 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1538 VA Primary

Addresses

Primary practice location

200 Milnwood Rd # B
Farmville, VA 23901-2817

Mailing address

200 Milnwood Rd # B
Farmville, VA 23901-2817
Phone (434) 315-8813

Other identifiers 4

IdentifierTypeStateIssuer
140489OtherANTHEM
IPO38163OtherGREENSPRING
031132OtherVALUEOPTIONS
081805OtherSENTARA

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120808000536 VA Practitioner - Clinical Psychologist 3870749740 Practice locations: Farmville, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2720 Layne St Ext
Farmville, VA 23901-3069
Phone (434) 547-7792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1538VAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497805576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILNWOOD RD # B",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012817",
            "telephone_number": "434-315-8813",
            "fax_number": "434-315-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MILNWOOD RD # B",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012817",
            "telephone_number": "434-315-8813",
            "fax_number": "434-315-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPERSON",
        "first_name": "JENNIFER",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "1538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "140489",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREENSPRING",
            "identifier": "IPO38163",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "031132",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "081805",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

Verify at the official NPI Registry.