Active NPI
Deborah Arnetta Rich, M.D.
- General Practice Physician
- Manassas, VA
National Provider Identifier
1548206980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 0101052792
- Practice address
- 12307 Charles Lacey Dr
Manassas, VA 20112-8837 - Phone
- (703) 791-3288
- Fax
- (703) 794-9987
- NPI assigned
- Jun 22, 2006
- Last updated
- Dec 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101052792 | VA | |
| General Practice Physician | 208D00000X | 0101052792 | VA | Primary |
Addresses
Primary practice location
12307 Charles Lacey Dr
Manassas, VA 20112-8837
Mailing address
PO Box 2112
Woodbridge, VA 22195-2112
Phone (703) 791-3288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
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.
-
- General Practice Physician
- Manassas, VA
- NPI 1962448308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230336000000",
"number": "1548206980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2112",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221952112",
"telephone_number": "703-791-3288",
"fax_number": "703-794-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12307 CHARLES LACEY DR",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201128837",
"telephone_number": "703-791-3288",
"fax_number": "703-794-9987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICH",
"first_name": "DEBORAH",
"middle_name": "ARNETTA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2008-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101052792",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101052792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.