NPIMap

Organization Active NPI

Country Primary Care

  • Primary Care Nurse Practitioner
  • Spotsylvania, VA
National Provider Identifier
1508300880
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0024169540 Issued in VA
Legal business name
COUNTRY PRIMARY CARE
Practice address
8409 W Hildy CT
Spotsylvania, VA 22553-3623
Phone
(540) 809-4454
NPI assigned
Dec 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Ms. Pamela Sue Keller-Arledge, FNP-BC
Title
Chief Nurse Practitioner
Phone
(540) 809-4454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X 0024169540 VA Primary

Addresses

Primary practice location

8409 W Hildy CT
Spotsylvania, VA 22553-3623

Mailing address

8409 W Hildy CT
Spotsylvania, VA 22553-3623
Phone (540) 809-4454

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1508300880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8409 W HILDY CT",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225533623",
            "telephone_number": "540-809-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8409 W HILDY CT",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225533623",
            "telephone_number": "540-809-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "KELLER-ARLEDGE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CHIEF NURSE PRACTITIONER",
        "authorized_official_telephone_number": "540-809-4454",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024169540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spotsylvania, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.