Individual provider Active NPI

Yvonne M Villarreal, M.D.

  • Family Medicine Physician
  • Stafford, VA
National Provider Identifier
1558360214
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101230416 Issued in VA
Practice address
385 Garrisonville Rd
Suite 211
Stafford, VA 22554-1545
Phone
(540) 657-1223
Fax
(540) 657-1220
NPI assigned
Jul 15, 2005
Last updated
Sep 13, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101230416 VA Primary

Addresses

Primary practice location

385 Garrisonville Rd
Suite 211
Stafford, VA 22554-1545

Mailing address

14 Secretariat Dr
Stafford, VA 22556-6671
Phone (540) 286-3729

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110503000849 VA Practitioner - Family Practice 6507041787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Embracing Health, Inc.Group PAC ID 6608051883, 5 clinicians

Practice addresses (Care Compare)

385 Garrisonville Rd
Stafford, VA 22554-8900

385 Garrisonville Rd
Suite 121
Stafford, VA 22554-1545

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101230416VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical Center of Stafford Family Medicine Current Accepting new patients
Embracing Health, Inc. Family Medicine CurrentSince May 1, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

385 Garrisonville Rd
Ste 121
Stafford, VA 22554
Phone (540) 318-8602

385 Garrisonville Rd
Ste 211
Stafford, VA 22554
Phone (540) 318-8602

608 Garrisonville Rd
Ste 201
Stafford, VA 22554
Phone (540) 659-4157

680 Garrisonville Rd
Ste 201
Stafford, VA 22554
Phone (540) 659-4157

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1558360214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SECRETARIAT DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225566671",
            "telephone_number": "540-286-3729",
            "fax_number": "540-286-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 GARRISONVILLE RD",
            "address_2": "SUITE 211",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541545",
            "telephone_number": "540-657-1223",
            "fax_number": "540-657-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "YVONNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101230416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.